Priority Screening Date: Monday, February 28, 2022 by 11:59pm for a guaranteed review. Applications received after this date will be reviewed as needed until the positions are filled. Please allow 2 weeks for processing of all application materials. The Eligible List established by this recruitment may also be used to fill future temporary and permanent vacancies as they arise. (Postmarks and faxes not accepted) Exam#: 22/50T02/02SS
Natividad is currently seeking one (1) permanent full-time Health Information Management (HIM) Coder I. Under general supervision, reviews, interprets, codes and abstracts medical records information according to standard classification systems; identifies diagnostic categories based on medical, diagnostic and related hospital services rendered and other related patient information; reviews medical records for adherence to quality standards; and performs other related duties as assigned. Examples of Duties SIGNIFICANT RESPONSIBILITIES OF THE POSITION
- Review and code inpatient and/or outpatient medical record information; assign codes using the International Classification of Diseases (ICD-9-CM) or American Medical Association's Current Procedural Technology (CPT) manuals, and/or Healthcare Common Procedure Coding System (HCPCS)codes and modifier assignments; establish Ambulatory Payment Classification (APC) and/or Diagnosis Related Group (DRG) appropriateness; identify and code secondary diagnoses and/or procedures
- Abstract Office of Statewide Health Planning & Development (OSHPD) data elements and assist the HIM Coding Supervisor with correcting & submitting data
- Monitor MediCare and other DRG paid bulletins and manuals; review current Office of the Inspector General (OIG) work plans for DRG risk areas
- Monitor medical visit code selection against facility specific criteria for appropriateness, and assist with developing such criteria as needed
- Continuously evaluate the quality of clinical documentation to identify incomplete or inconsistent documents for inpatient and/or outpatient encounters that impact the code selection and resulting APC/DRG groups and payment; abide by the Standards of Ethical Coding as set forth by American Health Info. Management Assoc. (AHIMA), & report areas of concern to the HIM Coding Supervisor
- Maintain knowledge of current and required coding certifications as appropriate
- Assist the HIM Coding Supervisor by serving as a facility representative for DRG's and/or APC's, by attending coding and reimbursement workshops and communicating updates presented, in third-party payor newsletters, bulletins and/or provider manuals to HIM staff
- Assist the HIM Coding Supervisor in performing data quality reviews on inpatient and/or outpatient records to validate codes and verify group appropriateness; check for missed secondary diagnoses and/or procedures; ensure compliance with all APC and/or DRG mandates and reporting requirements
- Monitor unbilled account reports for outstanding services or uncoded discharges to reduce accounts receivable days
- Stay informed about transaction code sets, HIPAA requirements and other issues that may impact the coding function; keep abreast of new technology in coding and abstracting software and other forms of automation
- Assist the HIM Coding Supervisor in performing periodic claim form reviews to check code transfer accuracy from the abstracting software and the charge master; may serve on a Charge Master Maintenance Committee
- Performs other related duties as assigned.
THE IDEAL CANDIDATE WILL HAVE A PROVEN TRACK RECORD DEMONSTRATING THE FOLLOWING:
Working Knowledge of:
- Medical record keeping principles and practices; the nature and uses of medical records charges;basic medical terminology, anatomy, and physiology.
- Basic functions of a hospital medical records division; legal aspects of medical record
- ICD-9-CM, CPT, and HCPCS Level II coding systems.
- The APC structure and regulatory requirements.
- Basic keyboard operations and the operation of standard office equipment; standard business computer hardware and software.
- The business and professional relationships and ethics involved among hospitals, physicians and patients.
- Read, interpret and evaluate complex technical reports and information.
- Understand and apply anatomical, physiological and medical terminology.
- Operate a personal computer.
- Maintain records and compile statistics.
- Communicate clearly and concisely, both orally and in writing; prepare reports and other written communications.
- Provide excellent public relations and courteous customer service; establish and maintain cooperative working relationships with others including physicians, nurses, administrators, managers, vendors, contractors and other health care industry personnel.
Any combination of training, education and/or experience which provides the knowledge, skills and abilities and required conditions of employment listed above is qualifying. An example of a way these requirements might be acquired is:
Experience: One year of experience which has involved either work with Medical Records coding and/or billing, or the analysis/evaluation of technical reports/information to determine appropriate coding.
Certification: Possession of a coding-specific certification issued by an accredited institution is highly desirable.
May receive certification pay if you possess one of the following certifications:
Certified Professional Coder (CPC)
Certified Professional Coder - Payer (CPC-P) Additional Information CONDITIONS OF EMPLOYMENT
- Natividad requires that all incumbents pass a pre-employment physical/medical assessment.
- Natividad will conduct a thorough background and reference check process which includes a Department of Justice fingerprint check.
- Employees who drive on County business to carry out job related duties must possess a valid CA Driver License for the class vehicle driven and clean driving record.
- Employees must have and show their original Social Security Card and a valid CA Driver License or CA State ID prior to the first day of work.
- Incumbents may be required to work all shifts, including weekends and holidays;
- Incumbents may be required to work with potentially hazardous and infectious substances.
The screening process is tentative. Should a change be made, applicants will be notified. The competitive process includes:
APPLICATION SUBMISSION: A completed Monterey County Application may be obtained from and submitted to the Natividad Human Resources Office, 1441 Constitution Blvd., Bldg. 300, Salinas, CA. 93906, or On-line applications may be submitted at www.natividad.com; resume and license and/or certifications (if applicable) may be attached to your online application or emailed separately to: AscensionIL@natividad.com. Resumes will be accepted in addition to, but not in lieu of the required application materials. For more information or to obtain regular paper application materials please contact the Natividad HR, 1441 Constitution Blvd.,(831) 783-2700, M - F, 7:30 a.m.- 5:00p.m.
QUALIFICATIONS APPRAISAL: All licenses/certificates will be verified via primary source. Completed application materials will be competitively evaluated. Please note: The initial screening for this position uses ONLY the applicant's answers to the Supplemental Questions. Screeners (who are Subject Matter Experts) are not given the application and/or resumes at this point in the process. Therefore, your answers to the Supplemental Questions are critical. The best-qualified applicants will be invited to participate further in the process.
QUALIFICATIONS ASSESSMENT: To further assess applicants' possession of required qualifications, this process may include an oral examination, pre-exam exercise, performance exam, or physical ability exam.
ELIGIBLE LIST: Applicants successful in the Qualifications Assessment process will be placed on an eligible list for possible final selection interview. This eligible list will be used to fill current and future vacancies.
- If you believe you possess a disability that would require test accommodation, please contact the HR Analyst for Natividad at (831) 783-2711.
- Employment is contingent upon acceptable documentation verifying identity and authorization for employment in the United States.
- If you are hired into this classification in a temporary position you will not be eligible for the benefits.
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