Category Archives: what is hospital coding
Hacking Healthcare | Think Differenter ™ – MI2
What happens when you teach first year medical student to code and be entrepreneurs?
Answer: Great prototypes of original ideas on volunteering in hospitals, choosing a doctor for a virtual visit, and visualizing the business health of a medical practice.
At the advice of a long time friend, I decided to teach an eight class selective at Georgetown University School of Medicine called “Hacking Healthcare.” I would teach medical student front end web coding. Besides specializing in Emergency Medicine, I consider learning to code HTML/CSS/Javascript to be one of the turning points in my career. Coding let me stop being strictly an “idea guy,” and rather become an agent of implementation. I wanted to share this ability to make ideas happen with a new generation of medical students. Most medical professionals are great at analysis and criticism, however, few are able to create. I wanted to teach them to create.
I had four guiding principles:
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Learn by doing. We would learn by building an idea the students were passionate about. There is nothing worse than learning by building a site for a theoretical Internet Cafe Business no one cares about.
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Learn something universally accessible. I chose to teach HTML/CSS/Javascript as it is a universal language that lets your idea be shared anywhere in the world on demand.
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Make code like learning any other organ system. Each programming language was broken out into the “Gross Anatomy,” or 50,000 foot view, as well as the nitty gritty punctuation I referred to as “Microanatomy.”
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Leverage the awesome local resources available in Washington, DC. Ed Tori, Pete Celano, and Steve Kinsey, my awesome colleagues at MI2, volunteered to help and bring their expertise in persuasion and innovation to the class. Konstantin Karmazin, formerly of Startup Health and now Georgetown medical student, volunteered his expertise in evaluating new companies.
The feedback from the students was great:
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Hacking healthcare was a good way to break away from the medical sciences and think critically about the issues facing healthcare and the innovations that could address that. It was empowering to meet physicians taking the lead as entrepreneurs and working on solving those challenges. — Elias Shaaya M’17
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The practical skills gained during this course will be immeasurable when navigating the changing, tech-centered landscape of medicine in the coming years. — Marwah Shahid M’17
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It was great learning about the different opportunities and organizations set up within hospital systems that help physicians transition an idea into a product. — Sam Sanghvi M’17
You can check out one idea, enabling micro-volunteering in hospitals, aka Voluntopia, here. (Please use with Chrome.) While the site is only a prototype and therefore incomplete, one quickly grasps what their altruistic idea would be like.
[Kevin Maloy is an Emergency Medicine physician, a Clinical Infomaticist and Coder. He teaches the Hacking Healthcare selective at Georgetown University School of Medicine. Learn more about Kevin here: http://mi2.org/about/mi2-leaders/kevin-maloy]
Avon Professional Fee Coder II Job – OH, 44011
Professional Fee Coder II
Reference Title
HR Use Only:
Hospital: Main Campus Non-Exempt
Facility: The Richard Jacobs Hlth Ctr
Department: Lorain Administration
Job Code: U99931
Pay Grade: 10
Schedule: Full Time
Shift: Days
Hours: 8:00am-5:00pm
Job Details:
Monitors, reviews and applies correct coding principles to clinical information received from ambulatory areas for the purpose of reimbursement, research and compliance. Identifies and applies diagnosis codes, cpt codes and modifiers as appropriately supported by the medical record in accordance with federal regulations. Ensures that billing discrepancies are held and corrected.Compares and reconciles daily patient schedules/census/registration to billing and medical records documentation for accurate charge submission, which includes (but not limited to) processing of professional charges, facility charges, manual data entry. Maintain records to be used for reconciliation and charge follow up. Investigates and resolves charge errors. Meet coding deadlines to expedite the billing process and to facilitate data availability for CCF providers to ensure appropriate continuity of care. May be responsible for working held claims and claim edits in the CCF claims processing system. Maintain proficiency in related CCF billing systems. Utilize ICD#9, ICD#10 and CPT-4 coding systems and materials. Maintain productivity standards. Maintains current knowledge and skills through reading and utilizing coding resources. Attends and participates in coding education systems. Other duties as assigned.
EDUCATION: High school diploma or equivalent. Specific training related to CPC procedural coding and ICD9, ICD10 diagnostic coding through continuing education programs/seminars and/or community college. Working knowledge of human anatomy and physiology, disease processes and demonstrated knowledge of medical terminology.
LICENSURE/CERTIFICATION/REGISTRATION: CPC,CCS-P, RHIT, RHIA, or CCA (AHIMA)
COMPLEXITY OF WORK: Requires critical thinking and analytical skills, decisive judgment and work with minimal supervision. Applicant must be able to work under pressure to meet imposed deadlines and take appropriate actions.
REQUIRED EXPERIENCE: Candidate must be credentialed (CPC,CCS-P, RHIT or CCA). Existing CCF employees credentialed with CMC may be required to obtain CPC (or CCS-P, RHIT, or CCA) within 12 months. Minimum of two years of coding experience in a health care environment and or medical office setting required. Candidate must currently be employed as a Pro Coder I at the Cleveland Clinic or have met all the training, quality and productivity benchmarks of Pro Coder I for six months to apply for a PRO coder II position.
PHYSICAL REQUIREMENTS: Typical physicial demands involve prolonged sitting and/or traveling through various locations in the hospital and dexterity to accurately operate a data entry/PC keyboard. Manual dexterity required to locate and lift medical charts. Ability to work under stress and to meet imposed deadlines. PERSONAL
PROTECTIVE EQUIPMENT: Follows Standard Precautions using personal protective equipment as required for procedures. MEDICAL STAFF APPROVAL:
Category: Finance/Information Systems
Concerned about Coder Agreement in ICD-10? | 3M Health …
Results of some recent studies evaluating the percentage of coder agreement in ICD-10 both intrigued and concerned me. It was a topic of conversation at three national conferences I attended recently, during which several of the speakers addressed the topic.. One study identified was the HIMSS “ICD-10 National Pilot Program: Outcomes Report,” released in October, 2013, which details findings from 200 patient records coded by two independent ICD-10-CM/PCS AHIMA Approved Trainers. The average accuracy between the two coders was 63 percent. These results made me wonder if the study’s outcome was due to a lack of ICD-10 coding knowledge or something else.
In reviewing the study results I noted that accuracy was determined by assigning a one (1) for each correct answer and a zero (0) for each incorrect answer, resulting in a percentage of correct coding for each of the two independent coders. This was calculated by comparing the coding results from the two independent coders with the final coding summary agreed on by the HIMSS Testing Scenarios and Coding Work Group coders. One thing I noted while reviewing the results is that there was variation in what was and was not coded. For example, some of the coders assigned codes for family history of disease and others did not. This automatically skewed the results. I did a little more investigation and learned that the coders in the study received no study guidelines about what should and should not be coded. My evaluation of the study brought to mind the following questions:
- Were the variations in codes due to the lack of study guidelines for the coders to follow (e.g., to code or not to code personal and family history)?
- Were the variations in codes due to the inconsistent reporting of procedures such as blood transfusions, EEGs, radiology procedures, etc?
- Were the variations in codes due to errors in ICD-9 coding? Even though the study was designed to code the cases natively in ICD-10, did the coders start to code in ICD-10 using ICD-9 as the basis?
- Were there actual ICD-10-CM/PCS knowledge deficits on the part of the individual coders that caused the variations?
At this point, you may be thinking, “How does this discussion matter to me, my coders, and my hospital?” Well, even in ICD-9, two or more coders often do not agree on the codes that should be reported for a medical record. For example, should a code for V45.77 ‘acquired absence of genital organ’ be assigned for a patient undergoing previous bilateral oophorectomy? I am not advocating for or against assigning codes for personal history. However, I am advocating for policies that establish what should and should not be coded and reported. The same goes for procedure coding. Coders should know what theyare expected to code and report.
Given the extra time provided by another ICD-10 delay, we should work to make sure there is agreement about the collection of data in order to supply data that is accurate, complete, and compliant. I have several recommendations that might help us all to get to the most accurate ICD-10 code:
- Establish or refine coding policies and procedures regarding coding and reporting of personal and family history, allergies, external cause status, etc.
- Review the Uniform Hospital Discharge Data Set (UHDDS) guidelines on reporting of significant procedures to determine which procedures should be coded and reported based on the definitions, billing requirements and institutional need
- Work now to improve ICD-9 coding accuracy. In some cases, the inaccuracy of an ICD-9 code is driving the inaccurate ICD-10 code, even if it is natively coded
- Work now to review the accuracy of the ICD-10 code
- Have more than one coder code the same case and then compare the results and discuss any variations. This will help identify and resolve coding discrepancies among coders
We have time to fine tune the accuracy of coding and reporting in ICD-10 before go-live in October, 2015.
Take Advantage of Medical Coding Training for Future Job Stability …
The career path of medical coding has grown extensively in recent years. Through proper training medical coding specialists are finding job stability throughout the country. Becoming a specialist requires specific medical coding training that depends on the understanding of alphanumeric coding and diagnostic training. This assists with efficient communication between the patient and the provider. The patient is diagnosed correctly and signified as urgent when necessary while the provider has a clear picture of the condition of the patient and can be compensated accordingly. Coding specialists are imperative to the entire healthcare industry. Medicaid Medicare insurance companies and doctors alike depend on accurate coding to prevent fraud and ensure proper reimbursements.
The educational requirements to become a specialist are minimal with the requirement of a high school degree. However candidates must utilize some sort of training course to enter the field. There are opportunities at local colleges universities and online venues to become familiar with coding and the human body.
Certification is offered through the American Health Information Management Association or the American Association of Professional Coders. Certification is not necessary to become a specialist but it is preferred. Certification can equal a 20% pay increase compared to individuals that choose on the job training rather than certification. Computer knowledge combined with the comfort of working independently is essential to overall success.
The government depends on accurate coding for statistical data to combat large scale medical issues. Information is compiled from various sources of medical coding specialists that work in every healthcare outlet. This includes hospitals private practice doctors dentists mental health care facilities and many more. Medical coding training requires intense training to learn an overwhelming amount of codes through a brood selection of code books including the International Classification of Diseases. Medical coding is a full time job that is often performed individually throughout the day or night. Job growth in the field of medical coding is expected to grow tremendously through 2020 due to the aging population.
Medical Billing And Coding Certification Exam Secrets | Bravo Bug …
Courses can incorporate the study of subjects which include keyboarding, healthcare terminology, insurance claim procedures, physiology, anatomy, health-related workplace terminology, and lots of other connected courses. You might be entrusted with private and personal information and facts to make sure that the information and facts captured is an precise record of what is dictated. On the internet classes are far better should you are self-disciplined. Only by means of perseverance and steady planning can you reach your career. Subsequent, the specialists who had at least five years of knowledge in the field earned sixteen dollars and sixty 3 cents per hour or virtually $36K annually. work from home medical billing Making certain this information is entered appropriately is essential since that is how the health-related profession is paid for carrying out their jobs. National certification exams are conducted by three reputed organizations; it consists of American Medical Billing Association (AMBA), American Academy of Expert Coder (AAPC), and American Health Information Management Association (AHIMA). It is absolutely worthwhile for a coder to acquire certified as this will likely enable immensely in acquiring a greater salary. The inpatient coders are accountable for the patients’ health-related records upon their admittance for the hospital. These two certifications would be the “Certified Skilled Coder” credential (commonly referred to as the CPC) and also the “Certified Coding Specialist” credential (generally referred to because the CCS).
But take into account that expanding a medical coding enterprise is not as very simple as having educated and throwing up your shingle. Some of the high priced software consist of capabilities such as laboratory fee calculations, durable medical equipment charge calculations, creation of custom charge schedules, and search tables for neoplasm, drugs, and chemical compounds. It provides a good salary, fantastic job possible, and nice environment for you to operate in. Additionally they have possibilities to carry out coding assignments within the laboratories below their instructors’ supervision. With 2 decades of experience you’ll be able to anticipate a salary in the $55,000 every year range.
The fact that newbies are entitled to a salary bracket closer to that earned by reasonably knowledgeable medical coder is often attributed to larger educational qualification. You are able to contact your nearby banks and credit unions for additional facts and prices. Precise medical coding promotes efficient medical billing and appropriate reimbursement, keys to smooth workplace or hospital operations. This ensures that the coder assigns correct codes and service levels for the procedures performed and supplies utilized to treat the patient through each visit. Medical coding software program also helps coders to determine the accuracy of healthcare bills thus ensuring correct payments in the individuals or the insurance providers.
A medical coder needs to be well-versed in medical terminology, and can need to be acquainted with all the codes. Before being regarded for a operate from residence medical coding job you will discover a number of things a single should do. In the course of this frame of time, one need to be extremely committed, hardworking and willing to find out and accept all sorts of guidance and challenges to be nicely ready for your future. The point here will be to negotiate a turn-around time that tends to make you profitable and pleases your customer. Medical billing is usually a profession that is very demanded.
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Independence Professional Fee Coder II Job – OH, 44131
Professional Fee Coder II
Reference Title
HR Use Only: Professional Fee Coder II
Hospital: Main Campus Non-Exempt
Facility: CC Business Operations Ctr
Department: RCM Observations
Job Code: U99931
Pay Grade: 10
Schedule: Full Time
Shift: Days
Hours: 8am-4:30pm
Job Details:
Monitors, reviews and applies correct coding principles to clinical information received from ambulatory areas for the purpose of reimbursement, research and compliance. Identifies and applies diagnosis codes, cpt codes and modifiers as appropriately supported by the medical record in accordance with federal regulations. Ensures that billing discrepancies are held and corrected.Compares and reconciles daily patient schedules/census/registration to billing and medical records documentation for accurate charge submission, which includes (but not limited to) processing of professional charges, facility charges, manual data entry. Maintain records to be used for reconciliation and charge follow up. Investigates and resolves charge errors. Meet coding deadlines to expedite the billing process and to facilitate data availability for CCF providers to ensure appropriate continuity of care. May be responsible for working held claims and claim edits in the CCF claims processing system. Maintain proficiency in related CCF billing systems. Utilize ICD#9, ICD#10 and CPT-4 coding systems and materials. Maintain productivity standards. Maintains current knowledge and skills through reading and utilizing coding resources. Attends and participates in coding education systems. Other duties as assigned.
EDUCATION: High school diploma or equivalent. Specific training related to CPC procedural coding and ICD9, ICD10 diagnostic coding through continuing education programs/seminars and/or community college. Working knowledge of human anatomy and physiology, disease processes and demonstrated knowledge of medical terminology.
LICENSURE/CERTIFICATION/REGISTRATION: CPC,CCS-P, RHIT, RHIA, or CCA (AHIMA)
COMPLEXITY OF WORK: Requires critical thinking and analytical skills, decisive judgment and work with minimal supervision. Applicant must be able to work under pressure to meet imposed deadlines and take appropriate actions.
REQUIRED EXPERIENCE: Candidate must be credentialed (CPC,CCS-P, RHIT or CCA). Existing CCF employees credentialed with CMC may be required to obtain CPC (or CCS-P, RHIT, or CCA) within 12 months. Minimum of two years of coding experience in a health care environment and or medical office setting required. Candidate must currently be employed as a Pro Coder I at the Cleveland Clinic or have met all the training, quality and productivity benchmarks of Pro Coder I for six months to apply for a PRO coder II position.
PHYSICAL REQUIREMENTS: Typical physicial demands involve prolonged sitting and/or traveling through various locations in the hospital and dexterity to accurately operate a data entry/PC keyboard. Manual dexterity required to locate and lift medical charts. Ability to work under stress and to meet imposed deadlines.
PERSONAL PROTECTIVE EQUIPMENT: Follows Standard Precautions using personal protective equipment as required for procedures.
Category: Finance/Information Systems
Euclid Coding Education & Quality Coordinator I Job – OH, 44117
Coding Education and Quality Coordinator I
Reference Title
HR Use Only: Coding Education & Quality Coordinator I
Hospital: Main Campus Exempt
Facility: Euclid Hospital
Department: Him Coding
Job Code: T99003
Pay Grade: 13
Schedule: Full Time
Shift: Days
Hours: 8am-5pm
Job Details:
Provides coding education to coders, reimbursement specialists, medical staff and others regarding documentation, reimbursement and data interpretation for inpatient and outpatient coded data. Provides one-on-one as well as classroom education. Acts as a coding expert resource. Conducts the quality review of inpatient and outpatient coding; maintains up-to-date coding guidelines and coding policy changes. Develops process improvement activities based on audit results.: Analyzes and evaluates clinical and operational systems relative to inpatient and outpatient reimbursement through chart review and other special study methods. Makes recommendations for data quality improvements and revenue enhancements. Monitors coding compliance via pre-billing coding, DRG & APC quality audits, case mix analysis, and compliance software reviews and through other methods. Provides feedback to the coding management team and staff regarding ICD-9-CM/CPT-4 or ICD 10 CM/PCS coding and DRG/APC assignment and related clinical documentation. Develops and maintains inpatient and outpatient electronic coding manuals to support quality coding on the Coding Sharepoint site. Assists with and/or provides suggestions for continuing education topics and issues for coding staff. Educates groups and individuals within HIM regarding coding, DRG and APC assignment and the reimbursement process. Interacts and educates coding staff. When appropriate, develops and maintains CCHS facilities coding guidelines in accordance with Official Coding Guidelines. Provides coder education on all relevant issues which will impact technical coding in HIM. Provides orientation and trains Coding staff. Assists with the analysis of case mix reports and other statistical reports. Quality and Education coordinators provide assistance with coding as workload permits. Supports coding program initiatives. Promotes good morale and cooperation. Encourages others and values their input. Shares information and seeks ways to add value both to the customer and to the team. Acts as a liaison among all department managers, staff, physicians and administration with respect to coding issues. Anticipates and responds to changing skills requirements. Seeks opportunities to learn new skills. Actively coaches and encourages team members to do the same. Successfully integrates team into the coding process to promote their development. Complies with CCHS and departmental policies and procedures consistently. Performs all other duties as assigned.
EDUCATION: : Associate’s Degree in Health Information Management is required. A Bachelor’s Degree in Health Information Management is preferred.
LICENSURE/CERTIFICATION/REGISTRATION: Individuals with an Associate s Degree in Health Information Management must be a Registered Health Information Technician (RHIT). Individuals with a Bachelor s Degree in Health Information Management must be a Registered Health Information Administrator (RHIA). Certified Coding Specialist (CCS) is preferred.
COMPLEXITY OF WORK: Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.
REQUIRED EXPERIENCE: A minimum of two years of experience in a clinical environment involving the accurate interpretation and coding/abstraction of therapeutic/diagnostic measures and procedures of a diverse patient population. In-depth knowledge of ICD-9-CM (ICD-10-CM) coding principles, DRG assignment, APC assignment, and modifier assignment. Formal coursework in anatomy, physiology and medical terminology in order to accurately interpret the medical record. Working knowledge of both personal computer applications and mainframe computer systems. Excellent verbal and written communications. Must be detail oriented and analytical in nature. A Bachelor’s Degree in Health Information Management may substitute for up to one year of required experience.
PHYSICAL REQUIREMENTS: : Physical demands require standing, walking, sitting, lifting, carrying up to 25 lbs. Close, distant, and color vision is required. Requires manual dexterity to grasp and handle records and to operate a PC computer in the course of work. The work environment is at a moderate noise level (business office with phones, copiers, computers, and printers).
Category: Finance/Information Systems
Corporate Coder-I | JOBBOJ | search job
Details: Community Health Systems, Inc. isone of the nation’s leading operators of general acute care hospitals. Theorganization’s affiliates own, operate or lease 206 hospitals in 29 states withapproximately 31,000 licensed beds. Affiliated hospitals are dedicated toproviding quality healthcare for local residents and contribute to the economicdevelopment of their communities. Based on the unique needs of each communityserved, these hospitals offer a wide range of diagnostic, medical and surgicalservices in inpatient and outpatient settings. Community Health SystemsProfessional Services Corporation seeks a CorporateCoder-I for its Franklin, TN, headquarters’ Health Information & Informatics Management team. Summary: Provides emergency department andancillary outpatient coding support to the CHS hospitals. Reviews patient records and assigns accuratecodes for each diagnosis and procedure. Appliedknowledge of medical terminology, disease processes, and pharmacology. Demonstrates tested data quality andintegrity skills. This individual will be required to make independent decisionsregarding accurate ICD-9-CM and CPT/HCPCS code assignments. These decisions will play a key role indetermining the reimbursement potential of CHS and adherence to codingcompliance regulations and corporate policies developed to ensure accuratebilling. Essential Duties and Responsibilities • Performs centralized coding for CHS hospitals via scanned medicalrecords and abstracts via access to hospital abstracting systems. • Codes Emergency Department and Ancillary care records. • Consults Regional Coding Manager and works out difficult codesand/or coding problems. • Attends coding workshops as necessary. • Other duties may be assigned • Mandatory overtime may be required and include 10 hour days up to 5 days a week 8 hours for weekends Working of certain holidays.
Job Online on Website: http://www.careerbuilder.com/jobseeker/jobs/jobdetails.aspx?siteid=RSS_PD&Job_DID=J3J8BT712LCL797VFGP&ipath=rss_geoip
Medical Billing And Coding Certification Exam Secrets | Bravo Bug …
Courses can incorporate the study of subjects which include keyboarding, healthcare terminology, insurance claim procedures, physiology, anatomy, health-related workplace terminology, and lots of other connected courses. You might be entrusted with private and personal information and facts to make sure that the information and facts captured is an precise record of what is dictated. On the internet classes are far better should you are self-disciplined. Only by means of perseverance and steady planning can you reach your career. Subsequent, the specialists who had at least five years of knowledge in the field earned sixteen dollars and sixty 3 cents per hour or virtually $36K annually. work from home medical billing Making certain this information is entered appropriately is essential since that is how the health-related profession is paid for carrying out their jobs. National certification exams are conducted by three reputed organizations; it consists of American Medical Billing Association (AMBA), American Academy of Expert Coder (AAPC), and American Health Information Management Association (AHIMA). It is absolutely worthwhile for a coder to acquire certified as this will likely enable immensely in acquiring a greater salary. The inpatient coders are accountable for the patients’ health-related records upon their admittance for the hospital. These two certifications would be the “Certified Skilled Coder” credential (commonly referred to as the CPC) and also the “Certified Coding Specialist” credential (generally referred to because the CCS).
But take into account that expanding a medical coding enterprise is not as very simple as having educated and throwing up your shingle. Some of the high priced software consist of capabilities such as laboratory fee calculations, durable medical equipment charge calculations, creation of custom charge schedules, and search tables for neoplasm, drugs, and chemical compounds. It provides a good salary, fantastic job possible, and nice environment for you to operate in. Additionally they have possibilities to carry out coding assignments within the laboratories below their instructors’ supervision. With 2 decades of experience you’ll be able to anticipate a salary in the $55,000 every year range.
The fact that newbies are entitled to a salary bracket closer to that earned by reasonably knowledgeable medical coder is often attributed to larger educational qualification. You are able to contact your nearby banks and credit unions for additional facts and prices. Precise medical coding promotes efficient medical billing and appropriate reimbursement, keys to smooth workplace or hospital operations. This ensures that the coder assigns correct codes and service levels for the procedures performed and supplies utilized to treat the patient through each visit. Medical coding software program also helps coders to determine the accuracy of healthcare bills thus ensuring correct payments in the individuals or the insurance providers.
A medical coder needs to be well-versed in medical terminology, and can need to be acquainted with all the codes. Before being regarded for a operate from residence medical coding job you will discover a number of things a single should do. In the course of this frame of time, one need to be extremely committed, hardworking and willing to find out and accept all sorts of guidance and challenges to be nicely ready for your future. The point here will be to negotiate a turn-around time that tends to make you profitable and pleases your customer. Medical billing is usually a profession that is very demanded.
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