At Kalispell Regional Healthcare, our mission is to improve the health, comfort, and life of those we serve. We believe in a better future for healthcare. With more than 4,000 employees, we are the largest private employer in the Flathead Valley. As we continue to grow, we look for people dedicated to service and quality.
Assigns appropriate ICD-9-CM and CPT-4 codes to inpatient and outpatient records. Abstracts designated criteria for tracking, reporting and reimbursement purposes.
1. Accurately assigns diagnosis, procedure codes and DRG's to inpatient, day surgery, observation, outpatient, and emergency room records utilizing appropriate coding guidelines. Coding is consistent with applicable regulations, including the official coding promulgated by CMS, the American Hospital Association, American Health Information Management Association and compliance policies. Communicates with physicians/physician offices to clarify diagnosis or procedures for appropriate code assignment when documentation is unclear. This standard is based on the departmental goal of <2% error rate. This score may be adjusted based on years of coding experience, demonstrated improvement in accuracy and other factors
2. Meets following productivity standards listed below:
Inpatient Acute: 2.5/hour
Inpatient NB/OB/Observation/Same Day Surgeries/SpecialProcedures: 5/hour
Emergency Department: 12/hour
Charges EDinpt/OBS: 6/hours
Charges Edoutpt: 15/hour
*This score may be adjusted based on years of coding experience, demonstrated improvement in productivity and other factors.
3. Perform Charge capture within 4 days of service. Enter all charges in Meditech system. Timely follow-up on accounts on hold. As needed request new CDM numbers and annually review new/revised CPT4 codes requesting new and/or updated CDMs.
4. Coders are key individuals that may catch lost charges and incorrect charges that have not been entered by various departments. This information is communicated to supervisor, responsible department, Health Information Management, Business Office and/or Case Manager. Reports coding issues to supervisor and/or Health Information Manager.
5. Abstract specified criteria for each inpatient, day surgery, observation, and emergency room encounter for reporting purposes and data elements for quality assurance. Validates all essential data elements that are entered by Admitting against the patients medical record when abstraction (i.e. disposition, patient status, patient type, etc). Any discrepancies are communicated back to Admitting for corrections.
1. High School diploma or equivalent.
2. Four or more years coding experience in an acute care setting, required
3. Data entry ability required
4. Self starter with organizational skills, must be able to function as a team member.
5. Thorough knowledge of classification and nomenclature anatomy, medical terminology, and health information management procedures and practices.
6. Understanding of ICD-9-CM and CPT-4 coding guidelines and practices.
7. Knowledge of computers and related hardware and software, printers, telephone system and standard office equipment.
8. Nationally recognized coding certificate (CCA, CCS, CCS-P, RHIT, or RHIA), preferred.
9. Coder I & II requirement (s) must be met & maintained.
Kalispell is a dynamic community located within a thirty-minute drive of Flathead Lake, Whitefish Mountain Ski Resort, Glacier National Park, several National and State forests and parks, and the Bob Marshall Wilderness area. Kalispell is the retail, professional, medical, and governmental center of the Flathead Valley serving approximately 140,000 people in Northwest Montana.