Coder - Emergency Department
Eskenazi Health

Job Info

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Division:Eskenazi Health

Sub-Division:Hospital

Req ID:12083

Schedule:Full Time

Shift:Days

Eskenazi Health serves as the public hospital division of the Health & Hospital Corporation of Marion County. Physicians provide a comprehensive range of primary and specialty care services at the 327-bed hospital and outpatient facilities both on and off of the Eskenazi Health downtown campus as well as at 10 Eskenazi Health Center sites located throughout Indianapolis.

FLSA Status

Exempt

Job Role Summary

This position exists to provide timely and accurate clinical coding and abstraction of Emergency Department (ED) services, to facilitate accurate reimbursement, research, and PI initiatives. This position is responsible for, but not limited to, facility coding, abstraction, and charge entry for the Emergency Department including the Urgent Visit Center, Emergency Physician Immersion Clinic, Center of Hope, and Trauma.

Essential Functions and Responsibilities

Leadership and Communication
• Proactively contributes to Eskenazi Health's mission: Advocate, Care, Teach and Serve with special emphasis on the vulnerable population of Marion County. Models Eskenazi Health's values of Professionalism, Respect, Innovation, Development and Excellence
• Supports departmental and organization-wide initiatives
• Communicates, coordinates, and collaborates with others

Service: Encompasses service to all customers served: patients, families, physicians, and community
• Interacts with customers professionally and with courtesy
• Strictly adheres to the policies on Confidentiality of Patient Medical Records

Quality: Encompasses quality, performance improvement, and regulatory requirements
• Coding and Abstracting: Identifies and assigns the appropriate diagnosis, procedure, and evaluation and management (E&M) codes in accordance with coding guidelines and ED standards. Maintains acceptable levels of performance related to productivity, accuracy, and quality standards
• Problem Solving: Utilizes available resources appropriately to maintain quality and consistency in coding, abstraction, and charge entry processes. Follows a defined process to query the medical staff for completion and/or clarification of documentation necessary to ensure coding compliance and accuracy
• Software Applications: Utilizes applicable software to retrieve documentation, abstract data/codes, and retrieve work lists. The identified systems include OnBase, Care Web, McKesson, Gopher, 3M Encoder
• Notifies ED management if inappropriate or unethical coding practices are identified or if there is uncertainty with legibility of the record, questionable, or unclear documentation
• Performance Improvement: Correctly identifies ED records that meet performance improvement initiatives. Provides feedback with changes in regulatory and reimbursement documentation requirements as well as identifies opportunities for documentation improvement and education

Financial and Operational Management: Encompasses the effective stewardship of resources for the department
• Charge Entry: Maintains a working knowledge of the Service Item Master (SIM) for the Emergency Department. Captures charges accurately based on documentation, and integrates charges and codes appropriately. Makes suggestions for additions to the SIM upon recognition of new procedures and/or supplies.
• Medical Necessity: Recognizes cases that require specific medical necessity coverage diagnoses, and applies Local Coverage Determination (LCD) policies as necessary
• Meets departmental standards for productivity, accuracy, and quality
• Maintains all equipment in good operational condition, and notifies ED management if equipment is damaged or additional supplies are needed

People: Encompasses the engagement of our employees and other departments to foster excellence in patient care and to meet departmental/organizational goals
• Solves routine job-related issues, and exercises sound judgment when requesting assistance from management
• Sets and adjusts priorities
• Responsible for maintaining credentials by accumulating necessary continuing education (CE) credit hours

Growth: Includes the responsibility and accountability for professional development

• Requires computer skills, and be able to learn new skills quickly
• Requires a high level of concentration, self-motivation, attention to detail, and persistent follow-up

Job Requirements

• Registered Nurse with ED or Critical Care experience preferred. Will consider non-RN coder with appropriate experience and credentials (R.H.I.A., R.H.I.T., CCS, CCS-P, or CPC). If not credentialed, one of the above credentials will be attained within 18 months of hire or at the discretion of Emergency Department and/or HIM management. The CCS exam is recommended to be taken only after 3 years coding experience per AHIMA (American Health Information Management Association) guidelines
• Minimum of 1 year coding experience utilizing ICD-9 CM, CPT-4, and HCPCS code classification systems is required

Knowledge, Skills & Abilities

• Computer skills, and the ability to learn new skills quickly
• High level of concentration, self-motivation, attention to detail, and persistent follow-up
• Understanding of ICD-9 CM, CPT and CMS transmittals and changes with coding, regulatory and reimbursement requirements
• Requires ability to apply medical necessity coverage determinations as applicable, and seek coverage in the medical record documentation
• Knowledge of:

• local Coverage Determinations (LCDs), Correct Coding Initiative (CCI) edits, APC grouping methodology, and the healthcare billing process
• medical terminology, anatomy and physiology, diagnostic and therapeutic tests, surgical procedures, and medical record documentation standards and retrieval
• E&M guidelines and assignment for emergency department coding positions

Accredited by The Joint Commission and named one of the nation's 150 best places to work by Becker's Hospital Review for four consecutive years and Forbes list of best places to work for women, and Forbes list of America's best midsize employers' Eskenazi Health's programs have received national recognition while also offering new health care opportunities to the local community. As the sponsoring hospital for Indianapolis Emergency Medical Services, the city's primary EMS provider, Eskenazi Health is also home to the first adult Level I trauma center in Indiana, the only verified adult burn center in Indiana, the first community mental health center in Indiana and the Eskenazi Health Center Primary Care - Center of Excellence in Women's Health, just to name a few.

Nearest Major Market: Indianapolis

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