程序员 II

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more – in our careers and in our communities.

This position performs facility coding and abstracting functions of outpatient cases including Emergency Department, Diagnostics, MSF and Recurring Patient type, Ambulatory Surgery, Observation, Outpatient in a Bed, and/or Clinic charging and coding of accounts.Responsibilities And Duties:

Assigns appropriate admit, reason for visit, principal and secondary ICD-9, ICD-10 and CPT- 4 diagnoses and/or procedures by reading documentation present in medical record and applying knowledge of correct coding guidelines as appropriate for hospital service and/or patient type while maintaining

quality and meeting and maintaining the minimum Coder productivity requirements. Assigns appropriate CPT Modifiers for facility coding to all CPT codes when necessary. Reviews records for diagnoses that meet medical necessity for Diagnostic and surgical procedures performed according to the CMS Local Coverage Determination LC d and/or National Coverage Determination NC d guidelines. Responsible for recognizing when it is necessary to obtain further clarification from physician when documentation is inadequate, ambiguous, or unclear for coding purposes. Responsible for accurate coding and charging of clinic accounts including the assignment of a facility E/M level using the Ohio Health Scorecard for guidance. Responsible for retrieval of documentation to support the coding of accounts that reside in non-HIM department source systems GE Gentricity, Mosaic, etc. . Assists educators and supervisors with reviewing accounts denied by RAC and other governmental payers for appropriate documentation to support original coding. 2.

In the event of insufficient, missing or conflicting documentation, assigns transaction codes in HBOC system and follows department policy for follow up and physician query. 3.

: Abstracts all data elements necessary to complete UB0 4 and meet hospital-reporting requirements. 4. 5%

: Verifies demographics, corrects account number, charges and service and identify missing or incorrect forms in each record. 5. 5%

: Identifies problem cases on the DNFB and forwards to appropriate staff for follow up. The major duties, responsibilities and listed above are not intended to be all-inclusive of the duties, responsibilities and to be performed by employees in this job. Employee is expected to all perform other duties as requested by supervisor.

Completion of a 2 year program and coding Certification from AHIMA or AAPC and/or graduate of a HIM program and Certification as RHIA/RHIT, and demonstrated knowledge of ICD-9, ICD-10 and CPT-4 classification systems, Advanced Anatomy & Physiology, Medical Terminology, ambulatory reimbursement schemes, and CMS Local Coverage Determination (LCD) and/or National Coverage Determination (NCD) guidelines. Must be eligible to sit for Certification exam within 6 months of hire or within 6 months of completion of the coding program, and pass the AAPC and/or AHIMA Certification exam.

OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment

Positions marked as remote are only eligible for work from Ohio.

- High school diploma or equivalent required; Associate’s degree in Health Information Management or related field preferred

- Certified Coding Specialist (CCS), Certified Professional Coder (CPC), or equivalent coding certification required

- Minimum 2-3 years of experience in facility coding, including outpatient settings (e.g., Emergency Department, Ambulatory Surgery, Observation)

- Knowledge of CMS Local Coverage Determinations (LCD) and National Coverage Determinations (NCD) for medical necessity

- Strong attention to detail with ability to maintain 95% coding quality and meet productivity standards

- Excellent analytical skills to interpret medical documentation and identify gaps requiring physician clarification

- Familiarity with electronic health records and source systems (e.g., GE Centricity, Mosaic) for retrieving documentation

- Effective communication skills to collaborate with educators, supervisors, and physicians on coding issues