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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 hospital acute and subacute inpatient encounters or hospital based interventional procedures
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 (inpatient hospital)
o RHIA, RHIT, CCS, or CIRCC (interventional hospital)
Experience and Skills
• RHIA or RHIT– None.
o CCS or CIRCC – 3 years inpatient or interventional coding require
Physical Activities
• Intermittent hand manipulation required
• Intermittent lifting and carrying of 20 pounds which can be modified
Role Specific Responsibilities
1. Follows all coding policies, procedures, standard operating procedures
2. Effectively uses encoding software and reference materials to assign appropriate codes
3. Provider driven coding: Reviews and accepts or revises code selection based
upon documentation and coding guidelines
4. Non – provider driven coding: Reviews provider documentation and assigns
appropriate codes based upon coding guidelines
5. Reviews coding edits and accurately resolves so encounter can be sent to claims.
6. Sends clear, respectful communications to provider inbasket or queries when
additional information is needed before finalizing coding.
7. Identifies and communicates to Coding Lead/Supervisor/Manager any issues
related to documentation, coding or systems that may impact quality, compliance, or productivity
8. Performs work que duties as assigned by Coding Lead/Supervisor/Manager
9. Maintains coding quality and productivity standards
10. Actively engages and makes meaningful contribution when participating in
performance improvement initiatives, department meetings and other meetings as required
11. Maintains required CEU’s
Compensation (Commensurate with experience):
$26.10 - $40.46
To access our Benefits Guide/Plan Information, please click the link below:
Southern Illinois Healthcare (SIH) is a not-for-profit health system serving the southernmost counties of Illinois with four hospitals, a comprehensive cancer center, Level II Trauma Center and more than 30 outpatient and specialty practices. Based in Carbondale, Ill., SIH is the region’s largest private employer with 4,000 employees and the largest provider of charity care, unreimbursed care and community benefits.
Recognized for quality outcomes in cardiac, stroke, bariatric and cancer care, SIH holds affiliations with renowned peers such as Prairie Heart Institute, SIU School of Medicine Family Practice Residency Program, Siteman Cancer Network and the BJC Collaborative.
We are dedicated to improving the health and well-being of all of the people in the communities we serve.
