Evolving and Adapting: The Changing Role of the CDI Professional …

Melanie Endicott, MBA/HCM, RHIA, CDIP, CCS, CCS-P, FAHIMA (melanie.endicott@ahima.org) is senior director, coding and CDI products development at AHIMA. The following article is a companion piece to her presentation, “Evolving and Adapting: The Changing Role of the CDI Professional,” at this year’s CDI Summit, held in Washington, DC.

 

The role of the clinical documentation improvement (CDI) professional is ever-changing. When CDI programs first started rolling out in the late 1990s and early 2000s, the focus was exclusively on acute care Medicare inpatients. The focus was merely on capturing complications and comorbidities (CCs) and obtaining specificity for a few focus areas, such as anemia, congestive heart failure, and pneumonia.

CDI programs today are morphing at a rapid pace. They are cropping up in settings such as hospital outpatient, physician offices, rehabilitation, and long term care. All payor types, not just Medicare, are being reviewed. And many programs are focusing on procedure documentation, for both ICD-9-CM and CPT, instead of solely on diagnoses. Even with ICD-10-CM/PCS implementation being more than a year away, many CDI programs are working on improving their documentation for ICD-10 purposes at present.

All of these changes require the CDI professionals to develop adaptation strategies to keep up with industry needs. One of these adaptation strategies includes a commitment to lifelong learning by attending conferences, reading textbooks and articles, networking with other CDI professionals, and taking continuing education courses. CDI professionals may consider earning a new credential to enhance their employment opportunities as well. Both coding and clinical skills need to be fresh and relevant.

ICD-10-CM/PCS is going to greatly change the role of the CDI professional. It is imperative that the CDI professional be trained in ICD-10 and understands the nuances of the new classification systems in relation to provider documentation. One way to prepare for ICD-10 is to compare the ICD-9-CM guidelines to the ICD-10-CM guidelines and identify areas that are different. There are many guidelines that are word-for-word the same in both sets of guidelines, however, there are some differences, which should be the area of focus for preparation.

One key area in ICD-10-CM that CDI specialists should be familiar with is the coding of acute myocardial infarctions (AMI). The use of the term “subsequent” in regards to AMI coding has changed from meaning the episode of care ICD-9-CM to meaning an additional AMI occurring during the acute phase (within 28 days) of the original AMI in ICD-10-CM. Also needed in the documentation is the wall involved (STEMI) and the coronary artery involved.

ICD-10-PCS is also going to bring about new documentation opportunities due to its increased granularity and specificity. CDI specialists need to remember ICD-10-PCS guideline A11, which states that it’s the coder’s responsibility to determine what the provider documentation equates to in ICD-10-PCS definitions. The coder, or CDI specialist, should not be querying the physician when the correlation between the documentation and the defined ICD-10-PCS terms is clear.

With all of the industry changes happening in healthcare, the CDI profession must evolve and adapt to stay ahead of the curve. CDI professionals should be lifelong learners, obtain a credential(s), and enhance their coding and clinical skills to pave a pathway to the future.

 

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CPC and ICD-10 Certified looking for position in Las Vegas area …



OBJECTIVE

Graduate with Health Information Management Associate?s Degree; licensed by the American

Academy of Professional Coders as a Certified Professional Coder and ICD-10 certified. Offering

skills, experience, and/or knowledge in Business Management and Healthcare. Looking for

a position where I can enhance my skills and develop as an outstanding employee.


EDUCATION

? Bellevue University  December 2014-Management, Human Resources

? Metropolitan Community College  May 2013

Health Information Management, Medical Coder

EXPERIENCE

Medical Coder at Boys Town National Research Hospital

September 2013 ? June 2014

Analysis of Electronic Medical Record documentation in areas of Lab results,

Psychology, Radiology, Anesthesia, Clinical office visits and Ophthalmology in order

to assign ICD-9 diagnosis and procedure codes as well as appropriate CPT and HCPCS codes.

I have adequate knowledge of medical record content and am able to support medical

code assignment. I adhere to medical coding guidelines and am continuing my

education for ICD-10-CM. I can operate a multi-line phone system, email, internet

research and other office equipment and software such as Excel, Word, and Power Point as

specified.


Internship at Spence Counseling  February 2013 ? May 2013

? Conducted insurance verification, documented, and directed to appropriate

Counselor. I implemented projects to organize 12 doctors with medical coding

by creating documents that define codes and modifiers.

Daycare Owner/Operator at Karter?s Playhouse  July 2009 ? September 2013

? Manage all business aspects of sole proprietorship. My responsibilities included

bill and collect charges prior to service, accounting and payroll preparation, hire and

supervise employee. I had to order supplies, plan, organize daily processes and implement

activities. I researched and developed age-appropriate lesson plans and training. Safety

was a concern at all times.

Corporate Travel Agent-September 2006-July 2009

Corporate travel arrangemnts-Air, car, hotel, train, limo and jet accomidations for

several different established corporations. This was a large call center environment

which servied over 60 different comapnys. I was required to learn computer systems

and usage of professional office equipment.

SKILLS

? Medical Terminology, Anatomy/Physiology

? ICD-9 Coding / CPT and HCPCS Coding

? Written and Verbal Communications

? Medicare, Medicaid, HMO, PPO, TRICARE, Gap

? HIPAA Compliance

? NextGen, LabDaq

? Exceptional customer relations skills

? Ability to understand procedures and laws

? Organized and detail oriented

? Microsoft Office ? PowerPoint, Word, Excel

? Providing good judgment and strict confidentiality, strong work

ethic and positive attitude, patient focus, and strategic planning


LICENSES

? ICD-10 Certified April 2014

? Certified Professional Coder Certification, AAPC, May 2013

? Health Information Management Certificate, June 201

Coding Specialist – Classified Ad

Responsibilities include accurately assigning diagnoses and procedure codes to patient records using ICD-9-CM, CPT-4, and other appropriate coding classification systems; maintains billing turn-around time at established levels.

* Perform regular auditing of provider coding throughout the practice, communicate findings and provide support to provider and manager directly with follow up recommendations to the Compliance Officer and the Board, perform follow up audits as necessary.

* Communicate effectively with physicians and staff regarding correct coding and documentation principles.
* Provide coding and documentation education, updates and training (group and one-on-one) to providers and Patient Account Reps, other staff as needed.
* Design tools to assist providers in appropriate coding and documentation.
* Provide coding training specifically oriented to providers new to the practice.
* Monitor professional publications, payor publications, and websites to remain up to date on coding changes relevant to the practice and communicate as necessary.
* Monitor payer and CMS websites for coding changes and reimbursement alerts.

* High school graduate or equivalent required, Associates Degree preferred.
* Must have at least Certified Professional Coder Certification (CPC) or Certified Coding Specialist – Physician – based Certification (CCS-P).
* Must have at least 2 years experience in assigning CPT and ICD-9 codes to clinical documentation.
* Ability to understand and interpret clinical documentation and understand the department billing processes at a detailed level.
* Excellent organizatonal, communication and customer service skills required.
* Ability to multi-task.
* Extensive knowledge of ICD 9 CM and CPT coding.
* Orthopaedic experience is preferred.

*Date:* 2014-01-31

*Country:* US

*State:* GA

*City:* Atlanta

*Postal Code:* 30342

Medical Coder – Required Immediate Joiners Pune Hyderabad



Medical Coder jobs are posted in Skillease Pune and Hyderabad. Medical coders who have minimum four to nine years of medical coding experience in medical coding are eligible to apply for this job. Immediate joiners are required.The candidate needs to have good medical terminology, Anatomy and Physiology with good CPT and ICD-9 CM knowledge. Candidates need to work in shifts and the salary will be provided best in the industry. Interested and eligible candidates can apply to the jobs as soon as possible, contact the number to get more details about medical coder requirement posted in Skillease Pune and Hyderabad.

Name of the Post – Medical Coder

Education – Any Graduate

Experience – 4 – 9 Years

Salary – Best in the Industry


Job location – Pune and Hyderabad

Company Name – Skillease

Contact Person – Namrata Davey

Phone Number – 044-49108134

Email – jobs@skillease.co.in

 


Medical Coding – 2014 Freshers in Life Science, Nursing …

ABOUT US
Nestem Technologies is ISO 9001:2008 Certified Leading Healthcare BPO Service provider. Medical Coding Jobs Offered For US Healthcare BPO.

MEDICAL CODING
Medical Coding is the process of converting Verbal Descriptions into numeric or alpha numeric by using ICD 9-CM, CPT and HCPCS.

As per HIPAA rules healthcare providers need efficient Medical Coders.

ELIGIBILITY
UG / PG in Life Science, Medical, Paramedical, Dental, Pharmacy, physiotherapy, Nursing, Microbiology, Biochemistry, Biotechnology, Biology, Bio-Medical, Zoology,Bioinformatics, Genetics, BAMS, BHMS, BSMS, BNYS and Nutrition & Dietetics candidates are required. Other stream candidates are not eligible.

COURSE OFFERED FOR FRESHERS
1. Medical Coding For Beginners (MCB)
2. Advance certification in Medical Coding (ACMC)

HIGHLIGHTS OF NESTEM TECHNOLOGIES
ISO 9001:2008 Certified Institution
Presentation and Video Classes by well Experienced Certified Trainers
Complete Anatomy, Physiology and Pathology training
Complete Medical Coding (ICD-9 CM, CPT-4 & HCPCS) Training
Complete Coverage of Industrial Requirement
Placements with Certification
High End Study Materials
Software’s for Practice

1) MEDICAL CODING FOR BEGINNERS (MCB)
Nestem Technologies provides 90 Hours of Training in Certification in Medical Coding for Beginners(Charges Applicable). The following modules will be covered in the Certification in Medical Coding for Beginners.

Complete Anatomy, Physiology & Pathology
ICD 9 CM (International Classification of Disease)
CPT 4 (Current Procedural Terminology)
HCPCS (Healthcare Common Procedure Coding System
HIPAA Rules
Sample Chart Coding

2) ADVANCED CERTIFICATION IN MEDICAL CODING (ACMC)
Nestem Technologies provides 120 Hours of Training in Advanced Certification in Medical Coding (Charges Applicable). The following Additional Modules will be covered in Advanced Certification in Medical Coding

CPC and CPC-H Sample Question Pattern
CPC and CPC-H Sample Question Papers with lot of coding practice scenarios

ACMC’s FEATURES
Training completely focused on CPC-(AAPC) certified
ACMC is suitable for people planning to work in Abroad
ACMC is preferred for those planning to take CPC

PLACEMENTS & PAY DETAILS FOR TRAINED
After successful completion of the Training job offer will be provided in Leading MNC’s. Placements will be in Chennai, Hyderabad, Bangalore and Pune.

9600/- to 13700/- PM initially with assured career growth (Excluding Special Allowances & Other Benefits).

DIRECT PLACEMENT ONLY IN CHENNAI

  • We provide direct placement for those having well knowledge in Human Anatomy & Physiology at FREE OF COST. This assistance will be given at our specific MNC Client in Chennai. For further Information Call us on 860 8291 818 / 979 1196 983 / 044-2481 4757.