CODING REIMBURSEMENT SPECIALIST (PCN 743)
South Peninsula Hospital/South Peninsula Hospital/HEALTH INFORMATION MANAGEMENT
The Reimbursement Specialist reviews the contents of inpatient and ambulatory records identifying appropriate ICD-9/ICD-10 and CPT codes to the highest specificity using appropriate coding guidelines, thus ensuring all coded records meet SPH, State and Federal requirements. Both inpatient and ambulatory coding is performed in a timely and accurate manner to meet ethical standards, compliance audits, and appropriate statistical and disease indices data collection requirements and for optimal reimbursement.
EDUCATION, KNOWLEDGE AND EXPERIENCE:
- Must possess a two-year Associate of Health Information Management degree or completion of the AHIMA independent study programs.
- Must possess RHIT, RHIA, or CCS for inpatient coding. If RHIT credential is absent, must be RHIT eligible or RHIT pending. As of September 2013, inpatient coders must be certified or actively pursuing certification in ICD-10 through AHIMA. Outpatient coders are encouraged to possess one of the credentials above; AAPC Coding certification is required.
- A minimum of two-years coding experience preferably in an acute care hospital setting. Possess in-depth knowledge of coding/classification systems appropriate for inpatient and outpatient services. These include, but are not limited to, diagnostic medicine, emergency room, outpatient surgery, observation, general medicine/surgery, dental, orthopedics, obstetrics and newborn.
- Must possess excellent written and oral communication skills. Incumbent must also be able to manage multiple concurrent tasks with exceptional organizational skills. The position requires keyboarding skills, and knowledge of coding computer applications. Must be able to operate general office machines including personal computer, FAX machine and photocopier.
South Peninsula Hospital is a 48 bed Acute and Long Term Care hospital, located at the southern end of the Kenai Peninsula. The South Peninsula Hospital has eighteen active Medical Staff members. Strict confidentiality is an essential component of this position. The HIMS department is a support service of SPH whose primary purpose is to contribute to the quality of patient care through the development and maintenance of a comprehensive, centralized health information system.