Requirements
- Advanced knowledge of medical terminology, anatomy and physiology, disease process, and diagnostic and procedural coding, as normally obtained through an Associate’s degree in Health Information Technology, or a related field, or an equivalent combination of years of education and experience in a complex healthcare environment.
- At least five (5) years of current hospital-based coding experience.
- Currently certified as one of the following: Certified Coding Specialist (CCS). Registered Health Information Administrator (RHIA). Registered Health Information Technician (RHIT). Certified Outpatient Coder (COC). Certified Professional Coder (CPC).
- Analytical ability and skill to effectively and efficiently resolve a broad range of coding issues.
- Critical thinking skills and the ability to work independently with minimal supervision, organize work and set priorities.
- Demonstrated experience with use of coding classification systems such as ICD-10 and CPT/HCPCS.
- Demonstrated, current expertise with 3M HDM encoders, 3M reporting tools, 3M Computer Assisted Coding (CAC).
- Comprehensive knowledge of diagnostic and procedural coding principals, conventions, methodologies, and prospective payment systems respective to coding compliance requirements.
- Demonstrated ability to interpret coding regulations, guidelines and standards, such as Coding Clinic.
- Knowledge of Medical Necessity review guidelines (LMRP/LCD and SI/IS criteria) for commercial, Medicare and Medicaid insurance products.
- Knowledge of state and federal Hospital Acquired Conditions (HAC) and other applicable quality indicator codes (i.e. PSI, PPI, etc.).
- Intermediate computer skills required, including working knowledge of and experience using MS Word, Excel, Outlook and PowerPoint.
- Strong understanding of the Catholic health ministry in an evolving health care delivery system and changing reimbursement market.
- Personal presence that is characterized by a sense of honesty, integrity, and caring as well as the ability to inspire and to motivate others to promote the philosophy, mission, vision, goals, and values of the Ministry.
Nice to Have
- Working knowledge of Epic EMR.
Work Arrangement
Hybrid
Additional Information
- Must be able to spend majority of work time utilizing a computer, monitor and keyboard.
- Must possess a valid driver’s license and be able to travel to assigned Trinity Health sites as needed.
- Ability to work in a fast-paced, multi-customer environment, with conflicting needs.
- May warrant varied and/or extended hours, with changes in workload and priorities to keep pace with the industry and advanced strategic priorities.
- Must possess the ability to comply with enterprise policies and procedures.
