Coding Quality Specialist, HIM
Full Time, 8am-4:30pm, Monday-Friday
Sellersville, PA 18960
Grand View Health, which includes Bucks County's first hospital, has provided residents of Bucks and Montgomery counties with comprehensive healthcare services since 1913. Now a century strong, Grand View offers a range of inpatient and outpatient care, particularly emphasizing the areas of surgery and orthopedics, women's and children's health, heart and vascular care, and cancer treatment. Our colleagues enjoy the best of both worlds by working for a high-quality, low-cost healthcare provider in a collaborative, community environment. Help us build this new era of wellness and lead our community to a healthier future.
The Coding Quality Specialist ensures completion of all coding and abstracting functions while maintaining accurate coding of all diagnoses and procedures in the medical record. The Coding Quality Specialist also abstracts relevant information from the medical record. The Coding Quality Specialist ensures coding compliance with all federal, state and regulatory agencies for coding accuracy and integrity.
This is a full-time position and the hours are Monday–Friday, 8am-4:30pm with an occasional weekend rotation.
Job duties include:
Assisting in the coordination of work assignments of coding and abstracting technicians to ensure completion, accuracy and integrity of medical records.
Providing direction to coding staff in the absence of the Coding Manager to promote quality of coding and efficiency of the department.
Participating in quality monitoring activities, along with the Coding Manager, for the coding area on a monthly basis to evaluate and correct coding and DRG assignment to ensure adequate patient database and hospital reimbursement.
Retrieving information from the MEDITECH system in response to requests for coding related reports as they are received.
Collecting data as requested from the coding software to evaluate Coding and Reimbursement activity, and submitting data to the Coding Manager and HIM Director for trend comparison reports, as well as for staffing and budget planning.
Assisting with training of new coders and HIM staff as necessary to meet goals and objectives set by the department.
Exercising leadership that is consistent with the leadership philosophy of Grand View Hospital.
Reviewing medical records to apply codes for diagnoses, operative and diagnostic procedures according to the current edition of the International Classification of Diseases and Operations and in the HCPCS CPT-4 Coding System in order to ensure information for billing and data collection purposes is accurate, utilizing the hospital's coding software.
Abstracting relevant information from each medical record using UHDDS definitions for input into MEDITECH computer system to provide data for the processing of reports.
Reviewing incomplete record files for the completion of diagnostic information by the physician and the application of codes by the coding technician.
EDUCATION AND EXPERIENCE:
LICENSES AND CERTIFICATIONS:
Associate's degree/Health Information Management degree required.
Over 3-5 years of experience in coding, abstracting and gathering statistical data in a healthcare setting preferred.
Certified Registered Health Information Technician preferred upon hire.
Grand View Health is an equal opportunity employer.
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