We Are Hiring!

At Riverside, everyday brings new and exciting challenges. You can expect an interesting environment where you’re part of making sure our organization is running optimally and safely, helping keep the community healthy. We provide the kind of paid training and opportunities that long-term careers are built on and we recognize hard workers who strive to make a difference. You will be able to succeed in our close-knit, safety-focused culture working together as a team. The careers we offer are meaningful because the work we do matters. Join us!

FTE: 1.000000

Shift: Days

Location: REMOTE

 

Summary:

The Hospital Coding Specialist II accurately codes and abstracts complex outpatient, observation, and ambulatory procedure medical records to achieve complete and compliant coding of assigned accounts and meet reimbursement, indexing, statistical, and reporting requirements. Assists with end-of-month and error reconciliation processes, including retrospective verification of medical necessity. Must have the ability to work independently in a fast-paced environment with the skills to prioritize and shift focus as need arises. Must project a mature, customer-focused attitude and professional demeanor in all contacts.

 

Experience/Education Requirements:

Minimum three (3) years current ambulatory procedure coding experience in the acute care setting or a comprehensive ambulatory surgery centerExpertise in ICD-10-CM and CPT coding principles essential.Thorough knowledge of Official Coding GuidelinesSolid command of medical terminology, human anatomy/physiology, pathophysiology, and disease process.Typing skills of 30 wpm with Windows-based PC knowledge base.Polished communication and customer relations skills.Ability to read and write in English.Detail-oriented, committed to accuracy, ability to problem solve.

License or Certification Requirements:

Coding credential (or eligible status) required: registered health information administrator (RHIA), registered health information technician (RHIT), Certified Coding Specialist (CCS), and/or certified professional coder hospital (CPC-H) OR eligible status with achievement of credential within six months of hire.

 

 

 

 

 

 

 

Responsibilities:

Accurately assigns and sequences appropriate ICD-10-CM and CPT codes for all diagnoses, procedures, signs, symptoms, and conditions documented in the medical record.Actively participates in continuing education opportunities to improve job performance and/or maintain credentialing. Adheres to recognized coding guidelines in all aspects of work.Assigns appropriate modifiers to CPT codes to fully describe services rendered.Assists in end-of-reporting-period, backlog completion, medical necessity verification, and error reconciliation processes.Collaborates with Patient Financial Services and source departments to achieve timely error-free coding and billing.Completes or reassigns records within coding queues to reflect coding status of each account handled.Enters abstracted data into Affinity system.Groups cases into correct classifications (e.g. APC, EAPG)Links procedure codes assigned during the coding session to the correct operative episode, physician, and revenue code.Participates in assigned charge capture committees.Reviews and responds to APC, OCE, CCI, and medical necessity edits identified during the encoder session to achieve compliant coding and optimize appropriate reimbursement.Verifies accuracy of essential downloaded information.Verifies that all physicians involved in the patient's care are correctly recorded in the abstract.

 

 

 

Riverside Healthcare is revolutionizing care using leading-edge technology to diagnose and treat patients. We are ranked top in the nation for performance in neurosurgery, orthopedics, and heart surgery and have also been named one of the nation's 100 Top Hospitals by Truven Health Analytics seven times. Riverside is nationally recognized for our specialty programs in obstetrics, trauma, oncology, rehabilitation, geriatrics, occupational health, psychiatric services, and treatment of alcohol and chemical dependency, as well as patient safety. We combine innovation and convenience at state-of-the-art facilities located in communities throughout the greater Kankakee area.

Riverside Medical Center proves that truly progressive medicine is being delivered in Chicago's southwest suburbs and East Central Illinois. Join a team that is not only concerned with providing the best care possible but also with offering a work environment of advancement and growth. Riverside is a place that embraces a culture where opinions count and dedications is respected, where superior performance is rewarded with competitive salaries and excellent benefits.

 

Other information:

Exposure/Sensory Requirements:

 Exposure to:
Chemicals: Printer, copier, and fax toners; liquid paper
Video Display Terminals: Extreme
Blood and Body Fluids: None
TB or Airborne Pathogens: None other than normal hospital environment exposure.

Sensory requirements (speech, vision, smell, hearing, touch):
Speech: Telephone and in person communication with customers, physicians, staff, and peers.
Vision: View computer screen, medical records, reports; access and review hard copy & online references & resources; file and retrieve records; identify and copy requested documents; prepare and distribute reports
Smell: N/A
Hearing: Telephone and in person communication with customers, physicians, staff, and peers; hear and respond to telephone, overhead pages, and emergency announcements; participate in inservice and continuing education programs
Touch: Write, keyboard; file/retrieve documents, reports

 Activity/Lifting Requirements:

Average Hours per Week: 40

Shift: Varies

Percentage of time during the normal workday the employee is required to:
Sit: 88%
Twist: 0%
Stand: 2%
Crawl: 0%
Walk: 3%
Kneel: 1%
Lift: 2%
Drive: 0%
Squat: 1%
Climb: 1%
Bend: 1%
Reach above shoulders: 1%

The weight required to be lifted each normal workday according to the continuum described below:
Up to 10 lbs: Frequently
Up to 20 lbs: Frequently
Up to 35 lbs: Occasionally
Up to 50 lbs: Not Required
Up to 75 lbs: Not Required
Up to 100 lbs: Not Required
Over 100 lbs: Not Required

Describe and explain the lifting and carrying requirements. (Example: the distance material is carried; how high material is lifted, etc.):
Stacks of charts, supplies carried waist high approximately 300 ft. May have to carry records up/down circular staircase. Carrying/lifting/bending with charts to file or retrieve in various department locations. Carrying paper/file folders through department. Reams of paper to printers/photocopier

Maximum consecutive time (minutes) during the normal workday for each activity:
Sit: 240
Twist: 0
Stand: 10
Crawl: 0
Walk: 2
Kneel: 0
Lift: 2
Drive: 0
Squat: 1
Climb: 1
Bend: 1
Reach above shoulders: 2

Repetitive use of hands (Frequency indicated):
Simple grasp up to 10 lbs. Normal weight: 5-10# frequent
Pushing & pulling Normal weight: