Health Information Management
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Works under the direction of the HIM Director/Coding Compliance Manager. Performs ICD-10 HCPCS coding, data abstracting and computer data entry on all inpatient and outpatient medical records. Performs other duties as assigned.
- Demonstrates competency with accurate and compliant coding utilizing ICD-10 and HCPCS classification using established governing guidelines for complete reporting of conditions and services rendered.
- Thoroughly reviews chart to ascertain all appropriate diagnosis/procedures, if there is a question regarding the diagnoses/code, refers chart to Coding Compliance Manager.
- Queries providers for clarification of non-specific diagnoses/procedures.
- Utilizes computerized coding/abstracting applications.
- Codes all diagnoses/procedures in accordance to ICD-10 and HCPCS coding principals and established coding guidelines.
- Assists physicians in proper record completion, including sequencing for appropriate reimbursement.
- Performs computer data analysis, identifies of potential Patient Safety Indicators, and hospital focused process improvement initiatives.
- Attends workshops, seminars and in services to maintain current knowledge and certifications.
- Stays current on published guidelines such as Coding Clinics for on-going compliant coding.
- Works with the Clinical Documentation Specialists to ensure the highest level of specificity and accuracy is documented in the medical record.
- Maintains code assignments to meet hospital timely billing standards.
- Performs other duties as assigned.
Education: A minimum of a high school diploma or GED required. Licensure:
- Coder I & II – CCA/CCPS required. New hires/transfers must be eligible for AHIMA CCA/CCPS certification within one (1) year from date of hire/transfer.
- Coder III – CCS required. New hires/transfers must be eligible for AHIMA CCS certification within one (1) year from date of hire/transfer.
- Coder III – Certified – CCS required.
Experience: Must prove understanding of medical terminology via a pre-employment test in addition to the experience listed below.
- Coder I : Entry level training position. Basic ICD-10/HCPCS knowledge, codes outpatient/ER primarily with some exposure to outpatient clinical, surgical and observation encounters.
- Coder II: Demonstrates competency in intermediate ICD-10/HCPCS code assignment. At least 6 months coding experience in an acute care hospital.
- Coder III: A minimum of at least 2 years inpatient coding experience in an acute care hospital with DRG/APC assignment experience.
- Coder III-Certified: A minimum of at least 2 years inpatient coding experience in an acute care hospital with DRG/APC assignment experience.
The hourly rate for this position is $35.02 - $42.15. The range displayed on this job posting reflects the target for new hire salaries for this position.
Union: NUHW Work Shift: Day Shift FTE: 1.0 Scheduled Hours: 40
If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!