Job Description: Oregon Health & Science University
Oregon Health & Science University values a diverse and culturally competent workforce. We are proud of our commitment to being an equal opportunity, affirmative action organization that does not discriminate against applicants on the basis of any protected class status, including disability status and protected veteran status. Individuals with diverse backgrounds and those who promote diversity and a culture of inclusion are encouraged to apply. To request reasonable accommodation contact the Affirmative Action and Equal Opportunity Department at 503-494-5148 or aaeo@ohsu.edu.
Coding Specialist ll
US-OR-Portland
Job ID: 2024-31077 Type: Regular Full-Time # of Openings: 1 Category: Hospital/Clinic Support Portland, OR (Downtown)
Overview
Coding:
Review clinical documentation of services to be coded in EPIC, and any other source of documentation available to ensure compliance with the Center for Medicare and Medicaid Services (CMS).
Assign correct CPT, ICD-10-CM, and HCPCS codes for professional charges, which could include E&M services; diagnostic services; procedural services; facility services; and/or Charge Routers and Charge entry.
Establish and maintain procedures and other controls necessary in carrying out all procedure and diagnostic coding and insurance billing activity for applicable work queues assigned in facility and/or professional services at OHSU.
Monitor activity for compliance with federal and/or state laws regarding correct coding set forth by CMS and Oregon Medical Assistance program (OMAP).
Coordinate all billing information and ensure that all information is complete and accurate.
Ability to maintain supportive and open communication with coding supervisor and team leads regarding coding issues and priority coding responsibilities assigned.
Develop and disseminate written procedures to facilitate and improve billing and coding processes for the department, and to train, support, orientate, and mentor coding staff as necessary.
Department Support:
Serve as a resource to ERC outpatient coding leadership and coding team for a broad range of billing policy and procedure issues.
Attends coding meetings and seminars and shares knowledge with other coders. Participates in EC Huddles.
In collaboration with Enterprise Coding Leadership, develop and disseminate written procedures to facilitate and improve billing and documentation processes.
In collaboration with Leadership, make recommendations and implement remedial actions for problems
Monitor coding and billing information from newsletters, memos, and transmittals from coding publishers and government agencies to advise physicians of billing practice changes in CPT, ICD-10-CM,and HCPCS
Participate in Enterprise Coding education sessions, Kaizen events, maintain CEUs, stay informed of current trends in coding.
Perform other duties as assigned.
Responsibilities
High School diploma or GED.
Minimum two years of hospital or professional services (dependent on position) experience reviewing, abstracting, and coding medical records using ICD-10-CM and CPT coding
Certification in one of the following (as indicated by the position description) Coding certification from AAPC or AHIMA:
Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) through the American Health Information Management Association (AHIMA).
Active AHIMA membership may be required for some positions. Certified Professional Coder (CPC) through the American Academy of Professional Coders;
OR equivalent certification.
Compliance with Code of Conduct, Respect in the workplace and Applicable policies, procedures and agreements related to position, department or OHSU as a whole
Must be able to perform the essential functions of the position with or without accommodation
Knowledge of OPPS guidelines and both CPT Inpatient and Outpatient coding guidelines.
CCI edits and familiarity with medical necessity guidelines, NCD and LCD requirements.
Experience using an EMR.
Some college course work or education in classes related to anatomy/physiology, medical terminology, CPT and ICD-10-CM coding.
Experience using EPIC, 3M encoder
Knowledge of CPT, ICD-10-CM, HCPCS, Federal Register, Federal and State insurance billing laws and mandates.
Proficiency with word processing and Excel spreadsheets.
Excellent verbal and written communication skills with the ability to effectively communicate with individuals at all levels, physicians, nurses, administrative management, etc.
Ability to work as a team player.
Must be able to pass internal coding test.
Member of the American Academy of Professional Coders and Certified Professional Coder or AHIMA certification required upon hire.
