Provides superior customer satisfaction (the customer defined as a patient, physician, hospital employee or representative for an outside agency), ensuring the highest quality of care and services. Provides the hospital with the necessary support and management of information as it pertains to all facets of the responsibilities within the Health Information Management Department and all related activities generated from the medical record department to maintain compliance with JCAHO, State, Federal and all other regulatory agencies.
Responsible for Outpatient coding and Billing compliance.Coordinates resolution of all OCE, NCCI, LCD, NCD, HOSP Edits and other denials with the Business Office, HIM or ancillary departments. Assigns ICD-10-CM diagnosis codes along with CPT surgical codes and modifiers for reimbursement and statistics.Maintains an accurate and consistent data warehouse.Ensures compliance with outpatient reimbursement requirements including PPS
High School Diploma required.
Two (2) years outpatient coding experience within acute care setting preferred.
One (1) year of APC experience preferred.
Knowledge and understanding of billing or collections in a healthcare setting and reimbursement of government payer methodologies (APCï¿½s, NCCI/OCE edits, medical necessity).
Other Preferred Qualifications:
Maintains RHIT, RHIA and/or CCS/CCA credential in good standing through AHIMA.
Job: Medical Coding
Primary Location: Hardeeville, South Carolina
Facility: Coastal Carolina Hospital
Job Type: PT2Y
Shift Type: Days
Employment practices will not be influenced or affected by an applicantâ��s or employeeâ��s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Internal Number: 2005011938
About Coastal Carolina Hospital
“Tenet Healthcare Corporation is a diversified healthcare services company with 115,000 employees united around a common mission: to help people live happier, healthier lives. Through its subsidiaries, partnerships and joint ventures, including United Surgical Partners International, the Company operates general acute care and specialty hospitals, ambulatory surgery centers, urgent care centers and other outpatient facilities. Tenet's Conifer Health Solutions subsidiary provides technology-enabled performance improvement and health management solutions to hospitals, health systems, integrated delivery networks, physician groups, self-insured organizations and health plans.