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Responsible for ensuring accuracy and quality coding assignments for all records requiring DRG and/or APC coding; ensures optimal and timely reimbursement.

Principal Duties and Responsibilities (*Essential Functions)

Job Specific (Minimum Requirements)

Knowledge, Skills, and Abilities

• Demonstrates working knowledge of the English language, verbal and written.
• Prior history as Clinical Documentation Specialist role, leadership skills, helpful.
• Demonstrates basic understanding of coding guidelines.
• Requires course work in/knowledge of medical terminology, anatomy and physiology, pathophysiology in order to interpret data on patient documentation. Working knowledge of all areas of adult medicine.
• Demonstrates strong interpersonal and communication skills necessary to interact effectively with all internal and external customers, verbally and in writing, as required.
• Requires strong organizational and analytical skills in order to prepare and maintain various documentation/reports.
• Demonstrates the knowledge and understanding of intensity of service, severity of illness, opportunities for intervention, planned course of treatment/procedures, care needs, and outcome goals.
• Requires excellent observation skills, analytical thinking, and problem solving ability.Requires strong critical thinking skills, ability to assess/evaluate/teach.

Education

Associates Degree in Health Information Technology is Required.

Bachelors Degree in Health Information Technology is Preferred.

Experience

Inpatient Coding/Clinical documentation review is Preferred.

3 yrs of Coding/Clinical documentation Improvement is Preferred.          

Certifications and Licensures                     

RHIT/RHIA certification is Required.

Model of Care and Conduct

Methodist Hospitals strives for excellence and insists on high standards of conduct and performance in everything we do. Our Model of Care and Conduct is designed to create a positive work environment which Methodist desires for all employees. This is foundational to the high level of patient, family and physician satisfaction we strive for each day. As part of all position's duties at Methodist Hospitals, all employees are responsible to conduct themselves in accordance with the Model of Care and Conduct and will be evaluated according to these standards of behavior.