Position Summary
Under the general direction of the Coding Supervisor of Health Information Management Services, this employee is responsible for the coding and abstracting of all inpatient visits or specialty outpatient surgery/observation visits or both based on physician documentation in the Medical Record.
Shift and Schedule
THIS SHIFT IS A 9 HOUR SHIFT
Full‑time, 6:30 AM – 4:00 PM, 72 hours per pay period.
Responsibilities
Code and abstract all inpatient visits or specialty outpatient surgery/observation visits.
Collaborate with Clinical Documentation Specialists to ensure appropriate documentation and validate accurate diagnostic and procedural information.
Assign correct DRG or APC in accordance with current coding classification systems and AHIMA’s Standards for Ethical Coding.
Follow up on outstanding accounts for billing.
Ensure work complies with The Joint Commission on Accreditation of the Healthcare Organizations and Premier Health Partners HIMS approved policies and procedures.
Qualifications
Education: Associate Degree in Health Information Management; proof of completion of an ICD‑10 course.
Certification: RHIT, RHIA, or CCS required.
Experience: Minimum of one year of inpatient coding or outpatient experience under Prospective Payment System and demonstrated competence using documentation enhancement/DRG management principles.
Knowledge: Medical terminology, data entry skills, familiarity with keyboard use.
Skills: Score of 80% or higher on the Inpatient Coding test; strong interpersonal, communication, organizational, oral and written communication; self‑control, tact, sound judgment, diplomacy, and flexibility.
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