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  • Coding Specialist I

    HonorHealth (Phoenix, AZ)



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    Overview Looking to be part of something more meaningful? At HonorHealth, you’ll be part of a team, creating a multi-dimensional care experience for our patients. You’ll have opportunities to make a difference. From our Ambassador Movement to our robust training and development programs, you can select where and how you want to make an impact. HonorHealth offers a diverse benefits portfolio for our full-time and part-time team members designed to help you and your family live your best lives. Visit honorhealth.com/benefits to learn more. Join us. Let’s go beyond expectations and transform healthcare together. HonorHealth is one of Arizona’s largest nonprofit healthcare systems, serving a population of five million people in the greater Phoenix metropolitan area. The comprehensive network encompasses nine acute-care hospitals, an extensive medical group with primary, specialty and urgent care services, a cancer care network, outpatient surgery centers, clinical research, medical education, a foundation, an accountable care organization, community services and more. With more than 16,000 team members, 4,000+ affiliated providers and over 1,100 volunteers, HonorHealth seamlessly blends collaborative care and approachable expertise to improve health and well-being. People often say care feels different here -- because it does. Learn more at HonorHealth.com. Responsibilities Job Summary Performs coding of clinical diagnoses and procedures which are utilized for reimbursement, physician and facility profiles, peer review activities, and reporting to regulating or accrediting agencies. Abstracts patient data to accurately code and maximize reimbursement utilizing computer encoder and grouper systems. Refers cases for medical staff quality review according to established criteria. Assign and sequence ICD-9-CM / CPT-4 codes for designated patient types which may include: diagnostics, observation, ambulatory surgeries, inpatient or emergency room records for billing and reimbursement. Review and analyze medical records for DRG/APC assignment to accurately reflect the diagnosis/procedures documented in the medical record. Abstract clinical data, including discharge disposition, accurately after documentation assessment and review to ensure that it is adequate and appropriate to support the diagnoses and procedures selected to be abstracted. Communicate with Medical Staff as appropriate to clarify documentation issues for accurate coding. Assist Patient Financial Services with interpretation and selection of appropriate ICD-9-CM or CPT-4 codes and /or other information requested for accurate billing and reimbursement. Possess knowledge and understanding of failed bill parameters. Effective use of software to obtain patient data (lab, radiology, pathology, transcription) and to charge Emergency Room acuity level. Verify accuracy of patient account/type and demographic data and coordinates corrections with Patient Financial Services to assure accurate billing/reimbursement and reporting. Resolves routine coding issues/problems and appropriately seeks assistance from Coding Manager. Participates in continuing education activities to enhance knowledge, skills and keep credentials current. Qualifications Education High School Diploma or GED Required Experience 1 year hospital coding and/or physician office coding experience Required Licenses and Certifications Certified Coding Associate (CCA) OR Certified Professional Coder Apprentice (CPC-A) OR Certified Professional Coder (CPC) Required

     


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