The Rehabilitation Hospital of Wisconsin (RHOW) is a state-of-the-art, 40-bed Inpatient Acute Rehabilitation Hospital that is dedicated to restoring lives. We are a result of the joint venture/partnership between ProHealth Care and Kindred Healthcare to meet the growing rehabilitation needs of the region.
RHOW specializes in treating patients with many diagnoses, including, but not limited to, stroke, brain injury, amputation, neurological and cardiac disorders. In 2016, RHOW has received Joint Commission Disease Specific Specialization in Stroke and Amputee Rehabilitation.
This position codes medical records using nationally approved coding guidelines for rehabilitation facilities. Works with physicians and other clinical staff to clarify diagnoses and/or documentation issues relating to coding and serves as the primary clerical and technical support for the Health Information Manager.
Assigns diagnoses/procedures codes to medical records using ICD-10-CM coding system.
Assigns initial codes within 3 days of admission and updates codes throughout the patients hospitalization with the final coding completed within 3 days of discharge, excluding weekends or holidays.
Performs basic medical record functions such as filing, thinning, release of information, coordination of transcription, assembly of discharged records, and analysis of discharged records for physician and other interdisciplinary team member deficiencies.
Performs scanning duties of discharged records and assists HIM Manager with record retention and purging.
Works with physicians and other clinical staff to clarify diagnoses and/or documentation issues relating to coding including notifying physicians of deficiencies, including time requirements for completion.
Serves as a coding resource to other hospital staff that might have questions regarding the meaning of certain codes.
Stays current with all coding changes pertaining to the inpatient rehabilitation environment.
Responsible for maintaining confidentiality of all patient information.
Participates in the overall quality assessment and improvement activities and relevant training programs.
Assists in preparing reports for committee functions.
Perform other related duties and activities as directed and assigned by the Health Information Manager.
Adheres to dress code, appearance is neat and clean and wears appropriate identification while on duty.
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.
Communicated the mission, ethics, and goals of the hospital, as well as the focus statement of the department.
Maintains current licensure/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 Kindred's Code of Conduct, Kindred policy and procedures, applicable federal and state laws, and applicable standards.
Must have completed at minimum a Medical Coder Certificate from an accredited school.
Minimum of CCA registration through the American Health Information Management Association.
Experience as an inpatient coder in a hospital is preferred.