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The Intern HIM Coding pursues a career in medical coding for hospital inpatient/emergency/outpatient services and professional/provider services. Assists the team with assigning appropriate codes, reviews coding claim and edits or performs any other duties as assigned. Responsible for applying the appropriate ICD-10-CM/PCS and CPT (including charging) diagnostic and procedural codes for emergency, outpatient and/or inpatient encounters and ancillary encounters ambulatory/provider-based clinics. Utilizes knowledge and experience gained with a goal to serve as a coding specialist.
Your EverydayGENERAL DUTIESCoding and Computer Related Knowledge:
- Gains/Implements basic knowledge of ICD-10-CM and PCS, IPPS and DRG payment methodology, CPT and HCPCS coding principles in the work. Assigns ICD-10, CPT and HCPCS codes to reflect services provided. Also implements knowledge of software programs related to EHR coding and billing.
Regulatory and Payer Knowledge:
- Implements knowledge of federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards. Follows compliance requirements for Medicare and/or other third-party payers.
Claim Edits, Denials and Follow-Up Knowledge:
- Reviews coding claim edits and denials for assigned charts and processes coding claim edits, denials and appeals according to guidelines.
Productivity and Accuracy:
- Meets productivity, accuracy competencies and learning milestones as outlined in the program.
Participation and Engagement:
- Participates in the Coding Training Program.
Privacy, Confidentiality and Standards of Conduct:
- Complies with the organization's compliance and privacy program and standards of conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct, patient/employee safety, patient privacy and/or other compliance-related concerns.
The Must-HavesEDUCATION/EXPERIENCE QUALIFICATIONS- Required: High School Diploma/GED or equivalent and 3 years of work experience, or Associate's and 1 year of experience, or Diploma/Certification in Coding and 1 year of experience.
- Preferred: Associate's Degree in HIM or similar or Completion of AHIMA Approved coding program or AAPC coding program.
Preferred:LICENSES AND CERTIFICATIONSA certification in the following areas is also preferred:
- Registered Health Information Technician from the Commission on Certification for Health Informatics and Information Management (CCHIIM)- AHIMA
- Registered Health Information Administrator from the Commission on Certification for Health Informatics and Information Management (CCHIIM)- AHIMA
- Certified Coding Specialist from the Commission on Certification for Health Informatics and Information Management (CCHIIM)
SKILLS AND ABILITIES- Basic knowledge of ICD-10-CM, ICD-10-PCS, CPT/HCPCS, MS-DRG, APR-DRG and APC coding principles and guidelines
- Basic knowledge of medical terminology, anatomy and physiology, diagnostic, and procedural coding (PCS /CPT) and MS-DRG or APC grouping and components of charge description master for charging functions as needed.
- Basic knowledge of Prospective Payment System (PPS) methodology for inpatients; knowledge of payment methodology for outpatient, ambulatory and/or provider-based clinic encounters.
- Ability to use standard desktop and windows-based computer system, including basic understanding of email, internet, and computer navigation.
- Excellent oral, written and interpersonal communication skills.
- System Knowledge - 3M 360 Encoding and Grouping Software, EPIC HB or PB Coding modules.
- Basic knowledge of documentation regulations for inpatient, outpatient or ambulatory records.
WORK SHIFT: Days (United States of America)
LCMC Health is a community. Our people make health happen. While our NOLA roots run deep, our branches are the vessels that carry our mission of bringing the best possible care to every person and parish in Louisiana and beyond and put a little more heart and soul into healthcare along the way. Celebrating authenticity, originality, equity, inclusion and a little "come on in" attitude is the foundation of LCMC Health's culture of everyday extraordinary
Your extras- Deliver healthcare with heart.
- Give people a reason to smile.
- Put a little love in your work.
- Be honest and real, but with compassion.
- Bring some lagniappe into everything you do.
- Forget one-size-fits-all, think one-of-a-kind care.
- See opportunities, not problems - it's all about perspective.
- Cheerlead ideas, differences, and each other.
- Love what makes you, you - because we do
You are welcome here. LCMC Health is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.
The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary.
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