Trauma Registrar

US-Remote

careers

Req #: 100292
Type: Full-Time
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St. Luke's Health System

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				Overview:

At St. Luke's, we pride ourselves on fostering a workplace culture that values diversity, promotes collaboration, and prioritizes employee well-being. Our commitment to excellence in patient care extends to creating an environment where our team can thrive both personally and professionally. With opportunities for growth, competitive benefits, and a supportive community of colleagues, St. Luke's is truly a great place to work.

Must be located in Idaho, Oregon, Utah or Arizona!

What You Can Expect:

Under limited supervision, Trauma Registrar is responsible for reviewing applicable documentation and assigning appropriate procedure and diagnosis codes.

* Assign ICD 10 CM and ICD 10 PCS codes by interpreting clinical data for reimbursement, planning, management, and statistical analysis in various data models.
* Evaluate the quality and integrity of the clinical documentation to identify incomplete or inconsistent documentation for encounters that affect the codes selection and payments.
* Validate pertinent data points in the patient record with accuracy, consistency, and uniformity for clinical and financial purposes.
* Maintain coding productivity standards of average records per hour based on record type.
* Meet or exceed coding accuracy standard as defined in the performance metrics.
* Provide ongoing feedback to the Trauma Registry Managers on the documentation and charge opportunities.
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Qualifications:

* Education: Associates Degree or  equivalent experience.
* Experience: 4 year's experience.
* Licenses/Certifications: Must have at least one of the following credentials: RHIA (Registered Health Information Administrator), RHIT (Registered Health Information Technician), CCS (Certified Coding Specialist), CPC (Certified Professional Coder), COC (Certified Outpatient Coder), CIC (Certified Inpatient Coder), CRC (Certified Risk Adjustment Coder), CAISS (Certified Abbreviated Injury Scale Specialist), CSTR (Certified Specialist in Trauma Registries).

Responsibilities:

Under limited supervision, Coder 3 is responsible for reviewing applicable documentation and assigning appropriate procedure and diagnosis codes.

* Reviews notations, diagnosis, or procedure information in medical record to assign appropriate diagnosis and procedure codes, ensuring accuracy and appropriateness of codes. 

* Applies basic knowledge of coding to solve unique or new cases resulting in the assignment and sequencing of diagnosis and procedure codes related to the following
* Outpatient: Claim Edit resolution, TPEE Audit management, Rebill Management. 
Inpatient coding with charges greater than $500,000; all mortality accounts; HAC; PSI. 

* Ensures documentation supports the level and type of service billed in compliance with billing regulations, provider documentation, procedures and coding guidelines. 

* Maintains a thorough understanding of coding classification systems, anatomy and physiology, medical terminology, pharmacology, disease processes, and surgical techniques. 

* Maintains compliance with quality and quantity standards along with demonstrated competency coding all types of records as outlined in Coding Policies. 

* Other duties and responsibilities as assigned.

Qualifications:

* Education: Associates Degree
* Experience: 4 year's experience.
* Licenses/Certifications: Must have at least one of the following credentials: RHIA (Registered Health Information Administrator), RHIT (Registered Health Information Technician), CCS (Certified Coding Specialist), CPC (Certified Professional Coder), COC (Certified Outpatient Coder), CIC (Certified Inpatient Coder), CRC (Certified Risk Adjustment Coder), CAISS (Certified Abbreviated Injury Scale Specialist), CSTR (Certified Specialist in Trauma Registries).
			
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