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Job Details

SIDRA4403 - Clinical Coder (Australian/New Zealand experience required)

Department: Medical Services Div
Division: Medical Informatics Dept
Contract Type: Full Time
Closing Date: 28-Feb-2019
Organizational Profile:

Sidra Medicine is a state of the art academic medical center that will function to the level of the highest international standards. Its clinical focus is on the specialty care of women and children.

Sidra’s Vision is: “Sidra Medicine will be a beacon of learning, discovery and exceptional care, ranked among the top medical centers in the world”.

Achieving this vision will encompass three essential activities:

World Class: Patient and Family Centered Care Health Education Biomedical Discovery

Once fully operational by mid-2018, Sidra Medicine will handle 275,000 outpatient appointments, 11,000 procedures, 100,000 emergency attendances and deliver over 9,000 babies per year, adding capacity to a rapidly growing population and delivering world-class specialist care.

The hospital will include 10 operating theatres, 400 beds, 100 percent single rooms with a private bathroom, a birthing center and an emergency department.

Department/Branch profile: Sidra’s Health Information Management Division ensures information management standards are consistently applied across systems to maintain the level of data integrity, quality, and privacy necessary for clinical, demographic, financial, evidentiary and administrative data to facilitate real-time healthcare delivery
Job Summary: The Coder is responsible for reviewing and analyzing medical records in order to abstract relevant data from patient medical records and ensuring appropriate codes are assigned in accordance with the clinical coding system to enable accurate and optimal allocation of Diagnosis Related Group (DRG) or associated Casemix classifications for all care episodes. The individual is also responsible for working closely with quality, finance, revenue cycle departments, registration, scheduling, case management, coding coordinators, coding reconciliation specialists and compliance to resolve coding/billing issues. He/ she investigates and resolves problems, complaints and incidents occurring within the coding section and assists the Manager – Coding with resolution of such issues.
Key Role Accountabilities:
  • Reviews and interprets patient EMR documentation to identify pertinent diagnoses and procedures and assigns ICD-10-AM and ACHI codes accurately and timely to the highest level of specificity based upon physician documentation

  • Reviews for document deficiencies and communicates policies and guidelines to physicians to improve documentation; including direct interaction with the relevant clinicians

  • Ensures timely, accurate, and complete clinical data for direct activity reporting, quality initiatives, billing, reimbursement, utilization and patient information systems

  • Ensures accurate coding and sequencing as specified by established coding principles and guidelines, following the clinical coding system to derive the appropriate DRG or similar care classification system required.

  • Ensures implementation of coding productivity and quality guidelines, including audits,  to ensure timeliness and accuracy of final diagnoses

  • Assists the Manager – Coding with the review process including record review, report generation and other duties as needed

  • Allocates the appropriate specific codes from the indexing system and assigns the codes for completing coding summary of the medical records

  • Investigates and resolves problems, complaints and incidents occurring within the coding section, and reports these occurrences to the Manager – Coding

  • Ensures consistency in information data flow and documentation requirements for effective medical coding and grouping; including development of advice sheets for clinicians to highlight key issues.

  • Validates that encoded information is reported with the most accurate information

  • Ensures continuous studies on coding practices and coding schemes to enhance the accuracy and timely completion of coding data

  • Ensures prioritization of coding tasks and designates work assignments to the Coders

  • Monitors daily coding compliance record reviews

  • Leads the coding reconciliation processes

  • Creates reports on unbilled records due to documentation, charge errors, and registration errors

  • Reports the number of DRG / coding changes below Sidra’s specified threshold to the Manager - Coding

  • Assures codes are supported by provider documentation and initiates appropriate queries based upon other clinical documentation for accurate and reliable data collection and reimbursement

  • Monitors coding systems to ensure optimal performance and recommends upgrades or changes to current system

  • Acts as a resource for coders to address coding related issues and questions

  • Implements changes in coding rules regarding correct coding initiatives and coding clinics as received from the Manager – Coding

  • Stays abreast of changes in laws, regulations and policies that impact clinical documentation, reimbursement and coding to assure compliance

  • Monitors the coding/ abstracting systems and ensures that appropriate computer systems are updated with the annual code changes and any other associates changes or updates

  • Implements and monitors policies and procedures, guidelines and compliance plan for coding; ensures coding processes are compliant and efficient

  • Works cooperatively with revenue cycle departments, registration, scheduling, case management, coding coordinators, coders, coding reconciliation specialists and compliance officer to resolve coding/ billing issues

  • Adheres to Sidra’s standards as they appear in the Code of Conduct and Conflict of Interest policies

  • Adheres to and promotes Sidra’s Values

In view of the evolving needs and opportunities within Sidra, this position may be required to perform other duties as assigned and reporting relationships may vary.
Qualifications, Experience and Skills:

 

 

ESSENTIAL

PREFERRED

Education

Bachelor’s Degree in a relevant field

Formal HIM Qualification

Experience

5+ years’ experience in coding clinical information systems inclusive of 2+ years senior lead experience in HIM/ Coding

 

Certification and Licensure

Credentialed Coder Certificate (CPC, CCS) Registered Health Information Certificate (RHIT, RHIA)

 

Professional Membership

 

 

Job Specific Skills and Abilities

  • Proficiency in ICD10 and ACHI coding for inpatient, outpatient, ambulatory surgery, observations, emergency department visits, and ancillary services

     

  • Demonstrated Casemix systems knowledge; especially DRG systems.

     

  • Experience in working with billing systems

     

  • Proficiency with Microsoft Office suite

     

  • Fluency in written and spoken English
  • Cerner Millennium

     

  • 3M Coding Encoder experience
Sidra’s Organizational Values:
  • Trust: Being competent; acting consistently, reliably and predictably; acting with honesty and integrity; respecting patient, employee and commercial confidentiality; delivering on commitments
  • Care: Acting with empathy, kindness and compassion; being humble; listening and responding; acting with cultural sensitivity; Caring for patients and staff
  • Teamwork: Sharing information and knowledge and learning from demonstrated expertise; being respectful, and thereby earning respect of others; acting with professionalism; leading and following; collaborating and being accessible
  • Transparency: Frequent and honest communication; open access to information for decision making; willingly acknowledge shortcomings; speaking up about concerns; publishing performance indicators
  • Innovation: Freedom to innovate; welcoming ideas and encouraging creativity; supporting talent; creating confidence; celebrating successes
  • Efficiency: Providing measurable value; using data to drive decision making; having and achieving clear goals; building processes that work; continuously improving outcomes in patient and family care
Privacy and Application Policy

To the extent permitted by applicable laws and regulations, Sidra Medical and Research Center ("Sidra" or "we") collect, use and disclose your personal information in accordance with the principles set out below.

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You expressly acknowledge that submitting your application does not mean that you will be contacted for an interview or that you will be made an offer of employment.

We reserve the right to discontinue the recruitment process at any stage. Similarly, you have the right to withdraw your active application at any stage of the recruitment process.

We would like to assure your application will be treated with due diligence and thank you for considering employment with Sidra.

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