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Completes inpatient, observation, outpatient surgery, emergency department, recurring, ancillary and/or professional coding and abstracting functions as assigned. Demonstrates the ability to achieve accuracy and consistency in the selection of diagnoses and/or procedures. Identifies complications/co-morbid conditions. Verifies point of origin codes, discharge status codes, and other registration/demographic data as appropriate.
Consistently meets or exceeds coding productivity standards per Central Coding Management Department productivity policy.
Consistently meets or exceeds quality requirements per Central Coding Management Department policy.
Outstanding 98-100% accuracy
Very Effective 96-97% accuracy
Effective 95% accuracy
Needs Improvement <95% accuracy
Ensures compliance with CMS and other regulatory compliance guidelines, Joint Commission compliance, and Mercy guidelines.
Queries physicians for clarification of documentation in a non-leading manner, as directed by coding guidelines and Central Coding Management Department policy.
If an IP coder, participates in the documentation improvement process in conjunction with the Coding Supervisor as appropriate. Promotes and contributes to the collaboration between the local Documentation Review Specialist(s) and the Central Coding Management Department in a positive manner.
Participates in all continuing education opportunities set forth by the Central Coding Management Department and acquires applicable continuing education hours to maintain certification(s).
Promotes and contributes to the collaboration between the local HIM department and the Central Coding Management Department in a positive manner.
Serves as a mentor to the Coding Specialist I.
Performs other duties as assigned.