| Scope of Position
Coding services assigns diagnosis and procedural codes to inpatient and outpatient medical records to facilitate the reimbursement and data collection for the individual business units of the OSU Health System. ICD-10-CM/PCS diagnoses and procedure codes are applied to inpatients and CPT-4 procedure codes are applied to all outpatients treated within the OSU Health System that are not captured through the charge description master. Medical record abstract data is assigned based on information reviewed for accuracy in IHIS during the coding process.
Position Summary
The position is responsible for coding medical records and other documents at the conclusion of the patients visit. A senior medical records coding specialist requires the skill set to code multiple work types for inpatient and outpatient services (outlined below). This requires selection of appropriate admitting diagnosis, principal and secondary diagnoses, principal procedure and secondary procedures; assigning accurate ICD-10 and/or CPT-4 codes; sequencing the diagnoses and procedures codes; and abstracting information including admission source, type, disposition, admitting, attending and procedure attending physicians.
Codes are selected in the Computer Assisted Coding/Encoder Software following review of information in the electronic medical record system, IHIS. Information abstracted and coded is interfaced to IHIS Resolute Billing system. This staff member is responsible to address all edits during the coding and abstracting process for complete and accurate coding and MS-DRG and APR-DRG assignment for hospital reimbursement.
This staff member will maintain productivity and quality standards set for the department maintain an approved work schedule and submit a weekly volume log.
Organizational Expectations
Practices within the Health System's policies and procedures. Adheres to the Medical Centers values as demonstrated by striving for excellence, collaborating as One University, demonstrating integrity and personal accountability, openness and trust, promoting diversity in people and ideas, change and innovation, simplicity in our work, empathy and compassion, and leadership.
Complies with the AHIMA Code of Ethics and Standards of Ethical Coding. Complies with the Department of Medical Information Managements Standards of Conduct on Billing and Coding.
Minimum Qualifications for hire or promotion
High School Diploma or GED required.
CAHIIM approved coding certificate program or HIMT program
Associate degree in relevant field, preferred.
Accredited as a Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS) by the American Health Information Management Association, or Certified Outpatient Coder (COC) by AAPC
AND
Minimum two years of daily hospital coding production specific to the area of discipline (i.e. inpatient coding or outpatient coding) preferred.
For promotion: ability to code at least 3 of the 5 inpatient service locations: University Hospital, University Hospital East, James Cancer Hospital, Ross Heart Hospital and Dodd Rehabilitation Hospital.
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