The Coder III uses the, ICD-10-CM, ICD-10-PCS, and CPT-4 coding methodology and the 3M 360 Computer Assisted Coding (CAC) System to accurately code all paper and electronic medical records (HPF and CERNER). The paper and electronic medical record needs to be coded and abstracted promptly and accurately.
Indicate the mental and emotional activities required of this job in the course of a normal shift (check all that apply).
X Handles multiple priorities X Makes decisions under pressure
X Independent discretion/decision making X Manages anger/fear/hostility
X Manages stress appropriately X Works alone effectively
X Works in close proximity to others or in a distracting environment
X Works with others effectively
Essential functions are those tasks, duties, and responsibilities that comprise the means of accomplishing the jobâ��s purpose and objectives. Essential functions are critical or fundamental to the performance of the job. They are the major functions for which the person in the job is held accountable. Following are the essential functions of the job, along with the corresponding performance standards.
Coding Accuracy: Codes Outpatient Diagnostic, Outpatient Surgery, ER and Clinic paper and electronic medical records with an average <4.5% error rate.
Coding Quantity: Codes Outpatient Diagnostic, Inpatient, Outpatient Surgery, ER and Clinic paper and electronic medical records according to Tenet productivity standard per coding type.
DNFC: Maintains Average DNFC < 2.0 days.
CARDS Process: Works collaboratively and constructively with CARDS Reviewer to address edits and maintain a <5 % error rate.
Code Hold Reason: After review, makes the appropriate determination of placing cases on â��HOLDâ�� based on documentation & coding guidelines with an average 98% accuracy/appropriateness rate.
Physician Query Process: Performs the Query process effectively, making appropriate effort to work closely with physicians timely for clarification, following-up on pending cases, and making the appropriate annotations in the system.
Resourcefulness and use of References material: Knowledgeable in using coding reference materials, to include Coding Clinic, CPT Assistant, AHIMA, Coding Alerts, Tenet Coding Policies and other reference material on Coding Compliance Share Point.
Assumes all other duties and responsibilities as necessary.
Demonstrates willingness to identify and/or assume activities relative to the developmental needs of the department.
Demonstrates dependability/flexibility in meeting scheduling needs of the department and hospital.
Safety: Takes responsibility for safety of our customers. Completes environmental rounds and maintains Joint Commission and regulatory agency compliance.
Teamwork: Is committed to working with all cooperatively to achieve 100% customer satisfaction. Balances team and individual needs to improve customer interactions
Courtesy/Etiquette and Attitude: Customers are treated with respect. Communicates caring and willingness to help customers. Interacts in a courteous manner and fosters mature professional relationships
Privacy/ Confidentiality: Creates a trusting relationship with customers, respects the right for privacy of all customers to include co-workers.
Communication: Maintains open communication will all. Information is exchanged clearly and concisely. Non-verbal communication is positive
Minimum Education: High School plus some college or business training.
Required Licenses/Certifications: Certification as Registered Health Information Technician (RHIT) preferred or as a Registered Health Information Administrator (RHIA) preferred. Requires Certified Coding Specialist (CCS) certification or a minimum of 95% proficiency coding accuracy rate on Tenet Coding Assessment with the understanding that the CCS certification must be obtained within 18 months of hire date.
Required Skills, Knowledge, and Abilities: 8 years of coding experience in an acute hospital care setting with Complex ambulatory cases including, hospital Interventional Radiology and Cardiac Catheterization medical records.
Job: Medical Records
Primary Location: Palm Springs, California
Facility: Desert Regional Medical Center
Job Type: Full-time
Shift Type: Days
Employment practices will not be influenced or affected by an applicantâ��s or employeeâ��s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.
Internal Number: 2105021647
About Desert Regional Medical Center
Tenet Healthcare Corporation (NYSE: THC) is a diversified healthcare services company headquartered in Dallas with 112,000 employees. Through an expansive care network that includes United Surgical Partners International, we operate 65 hospitals and approximately 510 other healthcare facilities, including surgical hospitals, ambulatory surgery centers, urgent care and imaging centers and other care sites and clinics. We also operate Conifer Health Solutions, which provides revenue cycle management and value-based care services to hospitals, health systems, physician practices, employers and other clients. Across the Tenet enterprise, we are united by our mission to deliver quality, compassionate care in the communities we serve.