Preferred Experience
- 3+ years of experience in charge integrity, billing, coding, or revenue cycle within a healthcare environment.
- Strong understanding of coding principles, payer regulations, and charge capture processes.
- Proficiency in charge integrity systems and software; Epic experience preferred.
- Strong analytical, organizational, and problem-solving skills.
- Excellent communication and interpersonal skills, with the ability to collaborate effectively with multiple departments.
- Knowledge of modifiers, rev codes, ICD, CPT, CCI, APC, OCE and HCPCS codes required.
- Ability to work independently, manage multiple priorities, and maintain attention to detail.
Required Licensure/Education
- High school diploma or equivalent required.
- Certified Professional Coder (CPC) or Certified Outpatient Coder (COC) required, within 1 year of hire, maintain a valid certification thereafter.
Preferred Education
- Bachelors degree in Business, Finance, Healthcare Administration, or a related field preferred.
Employee Health Requirements
Exposure/Sensory Requirements
Exposure to:
- Chemicals: Refer to MSDS manual
- Video Display Terminals: Average
- Blood and Body Fluids: Diagnostic composite of patients, frequent contact with intravenous devices, and high potential for contact with contaminated body fluids (blood, vomitus, stool) and administration of blood does create a high risk. Use of needleless IV system, universal precautions and protective equipment minimize risk..
- TB or Airborne Pathogens: Patient diagnostic presentations do pose high risk. Usage of protective wear and universal precautions minimize risk.
Sensory requirements (speech, vision, smell, hearing, touch):
- Speech: Required to communicate with patient/families/staff/doctors, coworkers, ancillary personnel and other department heads. Ability to ask for help.
- Vision: Required to perform necessary assessments of patient status, medication administration, CIS usage, and reading active orders and lab reports.
- Smell: Helpful to note presence of incontinence, vomitus, blood; electrical/fire safety.
- Hearing: Necessary to hear alarms, calls for help and to hear patient verbalizations. Necessary to hear lung, bowel and heart sounds. Needed to hear alarms (i.e., fire, codes via PA system).
- Touch: Necessary to perform percussive assessments and to comfort patients. Also needed to manipulate tools and equipment.
Activity/Lifting Requirements
Percentage of time during the normal workday the employee is required to:
- Sit: 10%
- Twist: 4%
- Stand: 40%
- Crawl: 0%
- Walk: 25%
- Kneel: 1%
- Lift: 10%
- Drive: 0%
- Squat: 1%
- Climb: 1%
- Bend: 30%
- Reach above shoulders: 3%
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: Frequently
- Up to 60 lbs: Occasionally
- 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.): Lifting patients off their beds that are unable to move independently is done with assistive lifting equipment. Horizontal movement of patients to and from carts/beds who are unable to move independently is done with assistive lifting equipment. Lifting equipment - carry 25'- 150' waist high (IV bags, patient trays, charts). Filled laundry bags are filled half full so as not to weigh over 35#. Carry fire extinguishers up/down 3-4 flights of stairs and several yards in emergency.
Maximum consecutive time (minutes) during the normal workday for each activity:
- Sit: 30
- Twist: 15
- Stand: 60
- Crawl: 0
- Walk: 10
- Kneel: 0
- Lift: 5
- Drive: 0
- Squat: 2
- Climb: 1
- Bend: 15
- Reach above shoulders: 2
- Repetitive use of hands (Frequency indicated): Simple grasp up to 10# Normal weight:
- Pushing &pulling - 50-200#: Occasionally
- Fine Manipulation: Typing in computer, omnicell, using pens to chart, drawing up meds in syringe and administration, starting IV's.
- Leg Strength - up to 50#: Occasionally (repetitive use of foot or feet in operating machine control: utilized in positioning beds during transport; x-ray, surgery or in an emergency situation from floor to floor, locking beds or cardiac chairs.)
Environmental Factors &Special Hazards
- Environmental Factors (Time Spent):
- Inside hours: 12
- Outside hours : 0
- Temperature: Normal Range
- Lighting: Average
- Noise levels: Average
- Humidity: Normal Range
- Atmosphere: Odors
- Special Hazards: Radiation, Chemical, Explosive - Chemical-drugs; Explosive-oxygen; Radiation-cesium implants and radioactive iodine therapy.
- Protective Clothing Required: Gowns, gloves, goggles, masks, HEPA masks for TB.
