Technologist / Rehabilitation Nursing Job in Beachwood, Ohio / Hospital
|
APPLY NOW
|
Description
Responsibilities: Assigns diagnoses/procedures codes to medical records using ICD-10-CM coding system and in accordance to the Coding Manual. Assigns initial codes within 3 days of admission and updates codes throughout the patients hospitalization with the final coding completed within 3 days of discharge, excluding weekends or holidays. Reviews medical record thoroughly to ascertain all diagnoses/procedures. Works with physicians and other clinical staff to clarify diagnoses and/or documentation issues relating to coding. Contacts responsible physician in a professional, tactful manner, if diagnosis is not available. Serves as a coding resource to other hospital staff that might have questions regarding the meaning of certain codes. Coder's diagnoses and procedures on clinical summary agree with physician's preference 100% of the time. Refers medical record to director if there is a question regarding the diagnosis/codes. Utilizes computerized coding/abstracting equipment. Stays current with all coding changes pertaining to the inpatient rehabilitation environment. Logs diagnoses, procedures and other abstracting data on worksheet for abstractor to input into computer. Meets productivity standard of assigning codes to a minimum of (3) medical records per hour on federally funded patients and six (6) medical records on non-federally funded patients. Meets quality standards of having 95% of principal diagnoses and procedures appropriately and/or correctly coded. Maintains 99% rate of information correctly abstracted. Maintains the number of DRG/coding changes below the 3% quarterly per PRO threshold. Reviews coding periodicals within seven (7) days of receipt. Updates the Coding Manual on an ongoing basis. Notifies manager whenever work is more than 48 hours behind work deadline. Assists manager with state requirements and reports. Ensures data quality and optimum reimbursement allowable under the federal and state payment systems. Acts as a resource person to hospital staff for coding and may provide education regarding coding changes/issues. Must be familiar with all medical record and coding requirements, including pediatric and SNF. Responsible for maintaining confidentiality of all patient information while performing coding duties. Participates in the overall quality assessment and improvement activities through data collection and documentation review, as well as relevant training programs. Assists in preparing reports for committee functions. Other duties as assigned. Qualifications: Professional Requirements: Adheres to dress code, appearance is neat and clean. Maintains regulatory requirements, including all state, federal and Joint Commission regulations. Maintains and ensures patient confidentiality at all times. Reports to work on time and as scheduled. Completes work within designated time. Wears identification while on duty. Uses computerized punch time system correctly. Attends departmental in-services and completes annual competencies/education requirements. Attends at least ___staff meetings annually, reads and returns all monthly staff meeting minutes. Works at maintaining a good rapport and a cooperative working relationship with physicians, departments and staff. Represents the organization in a positive and professional manner. Complies with policies and procedures regarding department operations, fire, safety, infection control and emergency management. Complies with all organizational policies regarding ethical business practices. Communicates the mission, ethics and goals of the hospital, as well as the focus statement of the department. Experience/Skills: CCS registration through the American Health Information Management Association. Registered Health Information Technician (RHIT) 3 or more years experience as an inpatient coder in a hospital. High School graduate or equivalent. Ability to work with physicians in a collaborative manner. Additional languages preferred. Basic computer knowledge.
* Some information such as the email and phone number are hidden unless you are registered and logged-in
|
|
