Temporary Coding/Billing Specialist, Medical Records, 40-Hour, Days, Remote

Hours: 40-Hour, Days, Remote

Job Summary: This temporary position would support the coding staff for a time of 15 weeks. The Coding Specialist will review medical records within the Heywood/Athol/ HMG EMR to abstract the diagnosis based on the documentation with the Expanse system. The Coder will serve to add diagnosis and CPT codes to surgical and other outpatient types of accounts. The
Coder will also notify the coding Manager, Medical records, and other coders as needed to for deficiencies in documentation. The coder is responsible for accurate and timely abstracting of all assigned accounts within the Expanse and 3M system. The coder will also review and drop claims for surgical services within Athena with appropriate CPT and
diagnosis codes attached in a timely manner to ensure timely and accurate billing. The coder will assist other departments with surgical CPT and diagnosis within the Athena platform.

Essential Functions

• Acquires the knowledge to keep up with changes in technology and regulations.
• Shares knowledge and expertise to help others improve performance.
• Continuously prioritizes projects, activities, and tasks to ensure deadlines and customer needs are met.
• Reviews medical records to code accurately all diagnoses and/or procedures using coding guidelines.
• Enters all codes into the Meditech Computer System, via 3M HDIM Systems by accessing the proper account using the medical record number and date.
• Creates and runs a list of unbilled accounts on a weekly basis.
• Utilizes the list of unbilled accounts to track electronically and if needed pulled manually, to attain the correct codes so the accounts can be billed and eliminated from the unbilled report.
• Collaborates with the Dir. Of HIM or Supervisor of Daily Operations to assess coding needs in certain areas when volume increases so that all accounts are coded and are able to be billed.
• Examines information given to ensure all needed information is present and maintains good communication with the physicians, other Medical Records Staff, and all personnel throughout the hospital so that coding can be done accurately and timely as needed without communication breakdowns.
• Retrieves any missing documentation and information from physicians and other departments prior to coding so that the coding can be done accurately and as scheduled.
• Ensures compliance with regulations to maintain accreditation and licensure.
• Issues, requests, and verifies insurance coverage and eligibility.
• Adds CPT for claims and drops bills for surgical claims in Athena following worklist in Expanse.
• Performs a variety of clerical functions to support billing office such as typing, filing, making phone calls and related duties as required or directed.
• Completed all Heywood Healthcare and Department specific mandatory requirements in the prior calendar year.
• Accurately compiles daily, weekly, and monthly data and statistics as requested.

Statement of Other Duties:

This document describes the major duties and responsibilities for this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that employees may be asked to perform job-related duties beyond those explicitly described.

Functional Demands

Physical Requirements:

Exerts up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects.  Frequently reaches (extending hands and arms in any direction), and handles (seizing, holding, grasping, turning, or working with hands).

Organizational Expectations

Behavioral Attributes

The following behavioral attributes are required: achievement motivation, flexibility, concern for order, initiative, self-confidence, self control, customer service orientation, interpersonal effectiveness, teamwork and information seeking.