Job Title: Coder/Abstractor III (Remote, WA residents only)
Location: Remote (Renton, WA)
Department: Health Information Management
Shift: Days
Hourly Rate: $28.00–$46.80 (DOE)
Job Overview
Responsible for hospital inpatient coding and abstracting based on documentation and coding guidelines within established productivity standards for all accounts assigned. Resolves coding related edits and denials and provides ongoing feedback and education to physicians and clinicians. Responsible for following up on all accounts unable to code due to missing or incomplete documentation or charges.
Prerequisites
Associate or bachelor’s degree in Health Information Management, required.
RHIA, RHIT, or CCS certification, required.
Three or more years of exclusive inpatient hospital coding experience, required.
Advanced ability to use and understand DRG, ICD‑10‑CM, and ICD‑10‑PCS coding methodologies.
Advanced knowledge of anatomy, physiology, pharmacology, disease processes, and medical terminology.
Effective written and verbal communication skills in English.
Qualifications
Research authoritative coding citations related to coding, compliance, and reporting needs.
Carry out assignments independently, follow procedures, and exercise good judgment.
Excellent customer service skills, including telephone interactions.
Proficient data entry skills.
Proven ability to interact with physicians and support staff.
Attention to detail and excellent organizational skills.
Knowledge of Medicare, Medicaid, and third‑party coding and billing requirements.
Successful completion of a pre‑hire coding test.
Essential Responsibilities And Competencies
Review medical record documentation and accurately assign ICD‑10 diagnoses and procedure codes, ensuring correct Medicare Severity‑Diagnosis Related Group (MS‑DRG) or All Patient Refined Diagnosis Related Group (APR‑DRG).
Maintain final coding and DRG accuracy on all inpatient accounts.
Maintain confidentiality of protected health information.
Review coding‑based edits, correct errors, and educate clinic and medical staff on ICD‑10‑CM and ICD‑10‑PCS usage.
Collaborate with Clinical Documentation Specialists, HIM deficiency team, and medical staff to ensure complete documentation for correct code assignment.
Code all records following strict coding guidelines, payer regulations, and ethics.
Ensure compliance with federal and state coding guidelines.
Meet productivity coding standards as outlined in the productivity policy.
Participate in coding meetings to enhance knowledge and compliance skills.
Communicate effectively with Revenue Cycle team and hospital departments regarding coding or charging concerns and claim submissions.
Review coding‑based payment denials, identify patterns, correct errors, and educate staff on appropriate coding procedures.
Provide immediate telephone support to clinic, medical, and revenue cycle staff with coding questions.
Assist with new provider orientation on coding, audit process, and documentation standards.
Apprise management of concerns such as backlogs or time needed for additional tasks.
Negotiate work improvement plans with management to raise quality and quantity to standards as necessary.
Maintain required CEUs annually for certification.
Adhere to policies and procedures and Valley’s expectations as defined in Valley Values.
Complete additional projects and duties as assigned.
Unique Physical / Mental Demands
Must prioritize and multitask, work independently with minimal direction, and take initiative in problem solving. Must interact professionally with operations staff, providers, the general public, and VMC departments. Must function effectively in an environment with frequent interruptions and multiple tasks. Requires manual, finger dexterity, and vision corrected to normal. Requires ability to travel several miles to various sites on any given day.
Created: 1/21
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