Certified Surgery/Observation Coder

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Position Summary

• Reviews provider documentation and revises and/or assigns ICD-10-CM codes

and CPT/HCPCS codes as appropriate, based on official coding guidelines.

Researches and takes appropriate action on any coding/claim edits.

• Coding focus is complex outpatient hospital based (Observation, Emergency

Department, Wound, Ambulatory Surgery) or provider based complex procedural

services (surgery, procedures, wound).

Principal Accountabilities

• Standards of Performance: Respect, Integrity, Compassion, Collaboration,

Stewardship, Accountability, Quality

Education

• High School Diploma required. Preferred Associate or Bachelor Degree in

Health Information or a healthcare related discipline.

Licenses and Certification

• Required:

o RHIA, RHIT, or CCS (hospital)

o RHIA, RHIT, CCS, CCS-P, CCA, or CPC (provider based)

Experience and Skills

• Hospital & Provider Based:

o RHIA, RHIT, CCS – None.

• Provider Based:

o CCS-P, CCA, or CPC – 3 years procedural coding required.

Physical Activities

• Intermittent hand manipulation required

• Intermittent lifting and carrying of 20 pounds

Role Specific Responsibilities

o Follows all coding policies, procedures, standard operating procedures

o Effectively uses encoding software and reference materials to assign

appropriate codes.

o Provider driven coding: Reviews and accepts or revises code selection

based upon documentation and coding guidelines.

o Non – provider driven coding: Reviews provider documentation and

assigns appropriate codes based upon coding guidelines

o Reviews coding edits and accurately resolves so encounter can be sent to

claims.

o Sends clear, respectful communications to provider inbasket or queries

when additional information is needed before finalizing coding.

o Identifies and communicates to Coding Lead/Supervisor/Manager any

issues related to documentation, coding or systems that may impact

quality, compliance, or productivity

o Performs work que duties as assigned by Coding

Lead/Supervisor/Manager.

o Maintains coding quality and productivity standards

o Actively engages and makes meaningful contribution when participating

in performance improvement initiatives, department meetings and other

meetings as required.

o Maintains required CEU’s

Compensation (Commensurate with experience):

To

To access our Benefits Guide/Plan Information, please click the link below:

http://www.sih.net/careers/benefits

Your Career. Our Company. Together, We Grow.

At Southern Illinois Healthcare, we realize that in order to provide our surrounding communities with excellent care, we must begin by providing our employees with that same care and appreciation.

We offer rich opportunities to develop and grow professionally, an environment of excellence in patient care, and the awareness that everything we accomplish is a direct outgrowth of the superb efforts and dedication of our employees.

Working to put the right people, exhibiting the right attitude and behaviors, in the right roles is not just a goal, but a priority of Southern Illinois Healthcare.

For the health of you and our patients, SIH and SIH Medical Group campuses are tobacco free.

For questions or more information about our openings, please email SIH Careers.

SIH is an Equal Opportunity Employer including individuals with disabilities and protected veterans.

Student Opportunities

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