<p>Job Overview:</p> <p>Reviews and interprets clinical documentation to assign accurate and complete codes, modifiers, MSDRG's, APR-DRG's, SOI, ROM, POA indicators, discharge dispositions and any other clinical data elements required for appropriate reimbursement. Understands and applies reimbursement processes under federal compliance guidelines. Abstracts demographic and clinical data into hospital health information system(s) such as HDM, Epic, or other currently in use. Performs and responds to data quality checks and payer/claims issues. One may specialize in one or more of the standard functions. Specific assignments will vary from day to day based on the needs of the department.</p> <p>Job Requirements:</p> <p>Currently enrolled in an approved program for specific field of study in</p> <p>Within six months of hire, RHIT/RHIA and/or CCS Continuing education pursued in accord with requirements of the accrediting bodies CPC/CCA may be substituted at the hiring manager's discretion</p> <p>Proficiency in ICD and CPT coding</p> <p>DRG's</p> <p>MSDRG's</p> <p>POA indicators</p> <p>Post-acute transfer rules</p> <p>Disposition status</p> <p>Disease process and treatment</p> <p>Anatomy and medical terminology</p> <p>Clinical documentation requirements</p> <p>AHIMA</p> <p>Experience in a related field</p> <p>Job Responsibilities:</p> <p>Reviews and interprets clinical documentation to assign accurate and complete codes, modifiers, MSDRG's, POA indicators, discharge dispositions, and other data elements required for appropriate reimbursement, meeting established quality and productivity standards within 3 days of visit/discharge. Meets stated metrics for on-time completion.</p> <p>Collaborates effectively with associate departments as follows, but not limited to: Performs and responds to data quality checks and payer/claims issues with Billing and Denials teams. Works closely with CDMP toward complete documentation for most descriptive coding and DRG , APR-DRG, SOI, and ROM assignment. Obtains final disposition status from Care Coordination. Supports clinical specialty work teams (i.e. OB and Cardiac Surgery)</p> <p>Abstracts demographic and clinical data into hospital health data management systems.</p> <p>Participates in audits, training of new employees, education, project teams, etc. as needed.</p> <p>Other Job-Related Information:</p> <p>Working Conditions:</p> <p>Climbing - Rarely</p> <p>Concentrating - Consistently</p> <p>Continuous Learning - Consistently</p> <p>Hearing: Conversation - Frequently</p> <p>Hearing: Other Sounds - Frequently</p> <p>Interpersonal Communication - Consistently</p> <p>Kneeling - Rarely</p> <p>Lifting <10 Lbs - Rarely<br> Lifting 50+ Lbs. - Rarely</p> <p>Lifting <50 Lbs. - Occasionally<br> Pulling - Occasionally</p> <p>Pushing - Occasionally</p> <p>Reaching - Occasionally</p> <p>Reading - Consistently</p> <p>Sitting - Occasionally</p> <p>Standing - Frequently</p> <p>Stooping - Occasionally</p> <p>Talking - Frequently</p> <p>Thinking/Reasoning - Consistently</p> <p>Use of Hands - Frequently</p> <p>Color Vision - Frequently</p> <p>Visual Acuity: Far - Frequently</p> <p>Visual Acuity: Near - Consistently</p> <p>Walking - Frequently</p> <p>TriHealth SERVE Standards and ALWAYS Behaviors</p> <p>At TriHealth, we believe there is no responsibility more important than to SERVE our patients, our communities, and our fellow team members. To achieve our vision and mission, ALL TriHealth team members are expected to demonstrate and live the following:</p> <p>Serve: ALWAYS…</p> <ul> <li>Welcome everyone by making eye contact, greeting with a smile, and saying "hello" </li><li>Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist </li><li>Refrain from using cell phones for personal reasons in public spaces or patient care areas </li></ul> <p>Excel: ALWAYS…</p> <ul> <li>Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met </li><li>Offer patients and guests priority when waiting (lines, elevators) </li><li>Work on improving quality, safety, and service </li></ul> <p>Respect: ALWAYS…</p> <ul> <li>Respect cultural and spiritual differences and honor individual preferences. </li><li>Respect everyone's opinion and contribution, regardless of title/role. </li><li>Speak positively about my team members and other departments in front of patients and guests. </li></ul> <p>Value: ALWAYS…</p> <ul> <li>Value the time of others by striving to be on time, prepared and actively participating. </li><li>Pick up trash, ensuring the physical environment is clean and safe. </li><li>Be a good steward of our resources, using supplies and equipment efficiently and effectively, and will look for ways to avoid waste. </li></ul> <p>Engage: ALWAYS…</p> <ul> <li>Acknowledge wins and frequently thank team members and others for contributions. </li><li>Show courtesy and compassion with customers, team members and the community </li></ul>