Prospective Payment Analyst

 

Please apply on our website at:  lrmcjobs.com

Two positions open:

M-F 12:30-9P and

M-F  2p-10:30p

 

Works under the supervision of the Health Information Management Director. Is capable of coding proficiently, inpatient and outpatient records at the stated minimum performance levels. Analyzes and interprets medical information in the medical record and assigns the correct ICD-9-CM or CPT code to the diagnoses/procedures of inpatients and/or outpatient medical records according to established coding guidelines. Communicates with physicians, physician advisor, and documentation coordinators to obtain optimal documentation to meet coding and compliance standards.  Enters code numbers and other clinical data into the computerized patient abstract for insurance billing, statistical, and research purposes.

 

Must identify opportunities for and contribute to the improvement of quality, safety and cost, as well as patient, customer, and employee satisfaction.  May perform other duties as assigned.

 

 

  PRIMARY JOB DUTIES/ESSENTIAL FUNCTIONS

 

1.  Analyzes and interprets medical information in the record and assigns ICD-9-CM and/or CPT code numbers to the diagnoses and procedures according to established coding guidelines.

2.  Enters the assigned code numbers and the appropriate patient information into the Clintrac computerized abstracting system.

3.  Retrieves all records including pathology and operative procedure reports and information needed for coding accuracy, completion, and appropriate DRG assignment.

4.  Organizes job functions and work assignments to be able to effectively complete assignments within the established time frames.

5.  Demonstrates knowledge of all equipment and systems/technology necessary to complete duties and responsibilities.

 

 CORE DUTIES AND RESPONSIBILITIES

 

1.  Participates in the orientation of students and new staff as assigned, ensuring the exchange of appropriate information necessary for the successful performance of duties and responsibilities and enhancing employee retention efforts.

 

2.  Assumes accountability for personal and professional growth and development of one?s own potential, including participation in activities that promote patient care and safety.

 

3.  Promotes and participates in activities that demonstrate the achievement of patient, customer and employee safety and satisfaction.

 

4.  Demonstrates commitment to the vision, core purpose/mission and goals of LRMC, modeling the values and culture.

 

5.  Actively participates in projects and activities which promote achievement of quality and financial goals.

 

6.  Assumes responsibility for acquiring information that is essential to the successful performance of duties and responsibilities.

 

7.  Communicates in a timely and consistent manner, ensuring a professional and respectful exchange of information and ideas.

 

8.  Assumes responsibility for adherence to personal appearance, dress and grooming standards, always portraying a professional appearance.

 

9.  Performs other duties as assigned to support the essential functions of the job and operational needs of the department.

 

 

 

 

CRITERIA-BASED JOB DESCRIPTION AND

PERFORMANCE STANDARDS

 

  Relative

Number Weight  Performance is Very Good When: __________________________

 CRITERIA-BASED PERFORMANCE STANDARDS

(TOTAL OF WEIGHTED STANDARDS MUST BE 100%.)

 

CRITERIA-BASED JOB DESCRIPTION AND

 JOB SPECIFICATIONS

 

(These are minimum qualifications for employment in this position.  Vacancy postings may specify additional requirements as necessary to meet staffing needs.)

 

1. Education: High School with College level medical terminology, Anatomy and Physiology; RHIT/RHIA or eligible preferred.  CCS credential within two years of employment is required.

 

2. Licensure:  None

 

3. Experience: 1-2 year?s acute care hospital coding experience within a HIMS Department preferred. 

 

4.  Skills:  Computer experience, especially with computerized encoder products.

 

5. Physical Demands:  See Physical Demands form.

 

6. Hours of Work: Variable

 

7. Other:  Good interpersonal skills and communication skills in dealing with physicians and other healthcare professionals.

 

 

LRMC Values and Behaviors

 

Care:  We thoughtfully serve the needs of others.We provide for the physical, emotional, and spiritual needs of our patients and their families.We lend a helping hand.We actively listen.We seek and value different ideas.

 

Quality:  We pursue the highest standards of care and safety.

1.  We do our jobs better everyday.

2.  We change to improve quality and service.

3.  We keep everyone safe.

4.  We exceed the expectations of our patients and customers.

 

Stewardship:  We effectively use resources to best serve the health care  needs of our community.We take care of hospital property and equipment.We use our time, talents, and supplies wisely.We are ambassadors of LRMC in and out of work.We volunteer to serve one another and the community.

 

Accountability:  We have unwavering commitment to performance and  are responsible for our actions.We know and do what is expected.We ask for what we need.We work together and think of others before we act.We balance our lives in and out of work.

 

Integrity:  We are sincere in doing the right thing.We are honest.We are fair.We are forgiving.We are trusting.

 

Courtesy:  We are kind and polite in all interactions.We always introduce ourselves.We say ?please? and ?thank you?.We use respectful language and communication.We treat others with dignity and respect.