SPECIALTY CODER

SPECIALTY CODER in NASHVILLE, TN

Shift: 1st - Day
Schedule: Full Time

Ardent Health Services invests in quality health care. In people, technology, facilities and communities, Ardent makes considerable investments producing high quality care and extraordinary results. Based in Nashville, Tenn., Ardent operates acute care health systems.

To achieve appropriate and timely reimbursement and data integrity, the Specialty Coder must work with local CDI Specialists, Health Information Integrity (HII) review nurses, and physicians/providers in clarifying documentation, providing education and ensuring accurate and compliant application of correct coding principles for hospital cardiac services and other specialties.

The Specialty Coder is responsible for:

  • Works with local CDI Specialists, HII nurses, cardiology departments and cardiologists/providers on an ongoing basis to assist physicians/providers in complete and accurate documentation through concurrent processes, and where necessary, retrospective queries.
  • In conjunction with CDI, provides education to coders relative to cardiac and related diagnoses and procedures, including the development of tools to facilitate complete and accurate documentation.
  • Assign ICD-10 diagnosis and procedure codes and present on admission (POA) indicators
  • Assigns CPT and HCPCS outpatient procedure codes and ICD-10-CM codes.
  • Maintains average productivity and quality standards based on Ardent Shared Coding standards.
  • Abstracts facility required data in McKesson Star.
  • Accurate assignment of Discharge Disposition status.
  • Works applicable and McKesson Pre-Bill Edits.
  • Communicates issues to the appropriate Coding Manager.
  • Thorough understanding of ICD-10 Official Coding Guidelines for Coding and Reporting and AHA Coding Clinic.
  • Through understanding of HCPCS/CPT coding systems and CPT Assistant and Coding Clinic for HCPCS guidelines.
  • Thorough understanding of Medicare Inpatient Prospective Payment System (IPPS), Medicare Severity-Diagnosis Related Groups (MS-DRGs).
  • Thorough understanding of Medicare Outpatient Prospective Payment System (OPPS), Ambulatory Payment Classification (APC).
  • Understanding of coding resources and tools.
  • Acknowledgement of receipt and review of updated Ardent coding policies.
  • Maintains continuing education (CE) requirements per Ardent policy.

We are seeking the right blend of experience and education.

Education :

  • Successful completion of a Medical Terminology, Anatomy and Physiology, and Pharmacology course
  • Successful completion of an ICD-10-CM/PCS and CPT/HCPCS coding training and/or classes
  • Comprehensive knowledge of Interventional Cardiology Coding guidelines
  • Bachelor's degree in a health related profession, or Associate's degree with relevant healthcare experience (equivalent to bachelor's)
  • Coding credential required (RHIA, RHIT, CCS, CPC-H, CPC, etc.)

Experience & Requirements :

  • Minimum 2 years coding with emphasis on cardiac services preferred with coding/abstracting experience in ICD-10-CM/PCS inpatient or outpatient coding. Advanced training in ICD-10.
  • Computer and software skills, including Word, Excel, encoder/grouper
  • Strong written and verbal communications skills
  • Strong interpersonal skills, including professional, team player, able to communicate well with others on all levels; pleasing personality, positive; regular contacts with other personnel throughout and outside the facility