HIM Coder II

HIM Coder II Shift: Day Employment Status: Full-Time (.75 or greater) Hours per Pay Period: 1.00 = 80 hours every two weeks (Non-Exempt) Starting Wage DOE: $21.70 - $27.12 Responsible for coding and abstracting diagnoses and procedures from patient charts using ICD-CM, ICD PCS and/or CPT-4/HCPCS codes for statistical and reimbursement purposes for all Billings Clinic inpatient and outpatient services. Alternatively, since Billings Clinic is an integrated delivery system, responsible for auditing or assigning CPT and E&M codes to clinic encounters by reading dictation, reviewing problem lists and intake forms, capturing primary and secondary ICD-CM diagnoses, adding HCPCS modifiers where necessary and verifying units of service for pharmacy items and supplies. Queries physicians to clarify clinical documentation. Educates physicians either concurrently or after the fact on coding and documentation and serves as an on-site resource for providers and staff. Calculates the MSDRG and APR-DRG. Ensures adherence to all Billings Clinic and regulatory compliance policies and procedures governing medical records coding, billing and reimbursement. Essential Job Functions Maintains detailed knowledge of and ensures adherence to all applicable Billings Clinic and regulatory compliance policies/procedures governing medical record coding, insurance billing, and reimbursement methodologies in all aspects of the job. Actively seeks out clarification and/or updated information to ensure most current guidelines are followed. Review of medical records for documentation to identify the principal diagnosis and/or procedure and all applicable secondary diagnosis and procedures. Assigning the appropriate ICD-CM and/or CPT-4/HCPCS codes for each encounter utilizing ICD-10 and CPT-4 reference tools. Utilizing the computerized encoding system and/or coding books to facilitate accurate coding and sequencing of diagnosis and procedures by following all regulatory compliance policies and procedures governing medical records coding, billing and reimbursement. Maintains or exceeds 95% coding accuracy based on audit findings. Maintains or exceeds department productivity standards for assigned areas of coding. Identifies and reports any regulatory or compliance concerns to Coding Resources Manager, Director and/or Billings Clinic Corporate Compliance Department. Ensures data accuracy prior to billing interface and claims submission (i.e., discharge disposition, appropriate use of modifiers, CPT, ICD, performing provider, date of service, POA, NCCI and other coding and abstracting requirements). Collects data from the medical record to complete a discharge data abstract on each encounter for specialized studies. Communicates with physicians/Non-Physician Providers to provide coding and documentation education and feedback. Identifies needs and sets goals for own growth and development; meets all mandatory organizational and departmental requirements. Maintains knowledge of current information and technologies for coding and abstracting arena. Maintains competency in all organizational, departmental and outside agency environmental, employee or patient safety standards relevant to job performance. Your Benefits We provide a comprehensive and competitive benefits package to all full- and part-time employees (minimum of 20 hours/week), including Medical, Dental, Vision, 403(b) Retirement Plan with employer matching, Defined Contribution Pension Plan, Paid Time Off, employee wellness program, and much more. Minimum Qualifications Education High School or GED - High school graduate or equivalent. Prior training in Anatomy, Medical Terminology and Coding. Experience 2 years of coding experience with a physician clinic dealing with multiple specialties and basic reimbursement experience. Certifications and Licenses Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA), Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) or other AHIMA and/or AAPC recognized coding credentials at hire. Or an equivalent combination of education and experience relating to the above tasks, knowledge, skills and abilities will be considered. Employees that require a licensed or certification must be properly licensed/certified and the licensure/certification must be in good standing. EEO Statement Billings Clinic is committed to being an inclusive and welcoming employer, that strives to be kind, safe, and courageous in all we do. As an equal opportunity employer, our policies and processes are designed to achieve fair and equitable treatment of all employees and job applicants. All employees and job applicants will be provided the same treatment in all aspects of the employment relationship, regardless of race, color, religion, sex, gender identity, sexual orientation, pregnancy, marital status, national origin, age, genetic information, military status, and/or disability. To ensure we provide an accessible candidate experience for prospective employees, please let us know if you need any accommodations during the recruitment process. #J-18808-Ljbffr