Location: San Antonio, TX
Company: Everest Rehabilitation Hospital
and appropriately disclosed according to established procedures, while maintaining compliance with federal, state, accreditation, and Acute In-Patient Rehabilitation Hospital Standards. ESSENTIAL DUTIES AND RESPONSIBILITIES: May include, but is not limited to the following: Job Specific Analyzes clinical documentation to accurately assign codes for primary and secondary diagnoses and co-morbidities, suggesting modifications as necessary.
Processes physician authorized diagnosis changes per approved procedure. Audits, enters and locks CPT codes for physician visit billing in the medical record system. Provides insight and guidance to clinical staff in determining accurate diagnosis and
evaluation/management visit codes. Processes requests for disclosures of patient information including FMLA forms, letters, life, and long-term care insurance claims, chart copies, etc.
facilitating completion of forms by physicians and ensuring required written authorization from the patient/representative. Reviews documentation at patient discharge, recording findings on the HIM spreadsheet for chart completion and process improvement monitoring. Performs weekly audit of closed records for chart completion. Distributes recertification documents to physicians for completion within the required timeframe. Covers staff absences and assists with other HIM duties as needed, including but
not limited to: scanning and filingchart assemblyadmission reviewspreparation of physician visit materialscompletion of death certificates Maintains the privacy and security of all protected patient health information (PHI), in compliance with federal HIPAA regulations.
Responsible for learning and utilizing technology made available by the agency to increase efficiency, communication and performance of duties. Participates in the agency s Quality Improvement program. Attends staff meetings and completes all mandatory training. Performs other duties as assigned. QUALIFICATIONS: Possesses coding education or a minimum of 1 year of experience with ICD-10 and CPT coding in a Hospital; AHIMA or AAPC certification preferred.
Possesses excellent verbal and written communication skills. Demonstrates strong organizational, time management, and prioritization skills. Possesses strong analytical skills. Possesses experience working with computers, printers, fax machines, and copiers. Has the ability to work independently and within an interdisciplinary team. Understands and is committed to the Acute In-Patient Hospital philosophy Education A. S. / A. A. S. in HIT preferred. License/Certification CCS certification. Current Basic Life Support (BLS) CPR certification through the American Heart Association.
Certifications must be maintained throughout employment. Employee must obtain certification within one year from hire date. Experience Possesses coding education or a minimum of 1 year of experience with ICD-10 and CPT coding in a medical records office; must have record management experience; health information technology (HIT) degree with credential or coding certificate preferred. Possesses strong analytical skills. Possesses experience working with computers, printers, fax machines, and copiers. Has the ability to work independently and within an interdisciplinary team.
Understands and is committed to Everest s philosophy. OTHER REQUIREMENTS: Participates in or conducts company-wide sponsored training to safeguard against improper use and disclosure of patient s protected health information. Monitors and ensures compliance with company policies, procedures, state and federal regulations and Accreditation Standards. Company Specific: Adheres to dress code, appearance is neat and clean and wears appropriate identification while on duty. Adheres to all smoking or tobacco regulations established by corporate building owners, state or federal laws.
Completes annual health, safety, and education requirements. Maintains professional growth and development. Maintains confidentiality of all patient and/or employee information to assure patient and/or employee rights are protected. Demonstrates knowledge of the principles of growth and development over the life span and the skills necessary to provide age appropriate care to the patient population served. Reports to work on time as scheduled; adheres to policies regarding notification of absence. Attends all mandatory in-services and staff meetings. Represents the organization in a positive and professional manner.
Complies with all organizational policies regarding ethical business practices. Communicates the mission, ethics, and goals of the hospital, as well as the focus statement of the department. Maintains current license/certification for position, if applicable. Consistently demonstrates Guest Relation s skills to patients, physicians, visitors, employees, and any other individuals with whom they may come in contact. Consistently follows departmental and hospital Health, Safety, Security, Hazardous Materials policies and procedures. HIPAA: Conduct job responsibilities in accordance with HIPAA privacy laws, follow hospital policy in provision of patient confidentiality.
Able to identify patient confidentiality issues and reports to proper hospital personnel immediately. Compliance: Conducts job responsibilities in accordance with standards set forth in Code of Conduct, policy and procedures, applicable federal and state laws, and applicable standards. Core Values: Professionalism To always maintain the highest standard and regard for others. Keep skills, competencies and required licenses/certifications current; displays mastery over attitude and behavior and pride in appearance.
Consistently performs duties to the best of abilities. Exceptional Care to go above and beyond our peers by providing exceptional care to WOW our customers patients, family, physicians, and each other. Respect Treating others as they would like to be treated; valuing others. Acknowledges the worth of others through professional greetings, proper telephone etiquette, patience, and common courtesy. Fun - Having fun and celebrating small successes in our journey to achieve big. Always demonstrates a positive attitude toward work and devotion to our passion and task at hand.
Teamwork To function as a unit, with common goals, recognizing we can achieve far more as a team than as individuals. Cooperates with co-workers while performing duties leading to everyone being able to achieve success and giving recognition where it is due. Integrity To always be honest and trustworthy in all our relationships. Demonstrates adherence to a strict moral or ethical code in performance of duties by always seeking to do the right thing. Accountability - Responsibility of our actions that influence the lives of our customers and fellow workers. Takes ownership of all aspects of duties shown through reliable, timely performance and responsibility.
Responsibility Maintains accountability by doing what is expected or beyond; assuring the appropriate tasks and project items are completed. Takes ownership of all aspects of duties shown through reliable, timely performance and accountability. Knowledge/Skills/Abilities: Excellent oral and written communication and interpersonal skills. Ability to work under stress and to respond quickly in emergency situations. Ability to work cooperatively as a member of a team. Demonstrates interpersonal skills when working or interacting with patients, their families and other staff members.
Ability to communicate in English effectively through verbal and written means to the extent necessary to perform job duties appropriately. Reading and comprehension at level necessary to perform job duties appropriately. Understands the principles of growth and development for the entire lifespan and ability to provide care appropriate for adult and geriatric patients as appropriate to the patient population. (If this position does not care for patients, i. e. not a clinic Ability to maintain confidentiality of all patient and/or employee information to assure patient and/or employee rights are protected.
Administrative/Clerical jobs encompass a range of roles within organizations that are pivotal for maintaining efficient office operations. These positions often involve tasks such as data entry, phone handling, filing, scheduling, and supporting other staff. Individuals in these roles typically possess strong organizational skills, attention to detail, and the ability to multitask. They serve as the backbone of a company’s daily functions, ensuring that information is managed effectively and communication channels are kept open. With the rise of technology, many administrative/clerical workers are also adept at using various software to streamline office processes.
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Administrative/Clerical jobs encompass a range of office and administrative support duties. These roles are crucial for ensuring the smooth operation of businesses and organizations. They typically involve tasks such as data entry, file management, answering phones, scheduling appointments, and supporting other staff. Characteristics of these jobs include attention to detail, strong organizational skills, proficiency in office software, and excellent communication abilities. While they vary by industry, administrative/clerical positions form the backbone of efficient office environments, enabling other professionals to focus on their specific roles.
Administrative/Clerical jobs encompass a range of roles within organizations that are pivotal for maintaining efficient office operations. These positions often involve tasks such as data entry, phone handling, filing, scheduling, and supporting other staff. Individuals in these roles typically possess strong organizational skills, attention to detail, and the ability to multitask. They serve as the backbone of a company’s daily functions, ensuring that information is managed effectively and communication channels are kept open. With the rise of technology, many administrative/clerical workers are also adept at using various software to streamline office processes.
