PIW is committed to improving the behavioral health care within our community by going beyond the traditional. We will continue to develop diverse and dynamic treatment programs and establish partnerships with others to understand and serve people where they live. Together we will build upon our strengths and human spirit to create a different future.
We will deliver the highest quality behavioral health care services to the patients at PIW in a responsible, reliable, and cost-effective manner.
We will be responsive, sensitive, and professional in all our relationships.
We will be a leader in providing a continuum of behavioral health care services in the Washington area.
We will practice good corporate stewardship within our community.
We will pursue growth while being mindful of the economic realities necessitated by being an independent organization.
We will treat all employees and staff of PIW fairly.
Responsible for the discharge analysis and coding of all medical records; initiation of all deficiency notices; participating in studies and audits; proving assistance of staff completing the deficiencies in the medical records; and serving as liaison for documentation requirements to the medical and clinical staff.
Externally this position interfaces with auditors, researchers, other healthcare facilities, third-party payers, and accrediting agencies. Internally this position interfaces with hospital management and staff.
Able to communicate effectively, oral and written, to staff and physicians regarding the process of release of confidential information and incomplete medical records in a professional and cooperative manner.
Ability to accurately code all diagnoses contained on Axes I through V.
Able to multi-task.
Demonstrated ability to utilize various computer programs including but not limited to Excel, MS Word, and Medik.
Demonstrated knowledge of documentation requirements for medical records assembly and analysis.
Demonstrated ability to accurately maintain up-to-date discharged records (abstracting and coding)
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Follow-up as necessary and retrieves any discharged record not received within 24 hours of discharge.
Codes all final diagnoses using ICD- (CM and DSM-IV coding principles 24 hours of receipt of the record, maintaining a 95% accuracy rate.
Codes all interim diagnoses within seventy-two (72) hours of receipt of list prepared by the Business Office to facilitate interim billing.
Inputs all diagnoses into the Medik system within 48 hours of discharge, and within 72 hours of receipt of list from Business Office.
Creates deficiency notices for all physicians and clinical staff based upon analysis of the records and distributes the lists at least weekly.
Assists with retrieval and filing of records requested by hospital staff.
Assist with general medical records department functions including purging of records, loose filing, answering telephones, etc.
Reviews listing of records needing diagnoses from Medik on a weekly basis and enters data as indicated maintaining less than $50,000 outstanding balance due to incomplete discharged records.
Demonstrates a professional attitude and supports the objectives of the hospital and guest relations philosophy through internal and external communication and interaction with all levels of staff, patient family members, guests, community, and referral sources.
Performs all other duties as assigned by the Director of Health Information Management or designee.