Medical Records Coder II - Full Time - Days

Job Summary

Under the general direction of the Director CDI/Coding or designee, the Medical Records Coder I will improve documentation, data quality and revenue cycle operations. The coder assigns International Classification of Disease system- 10 (ICD), CM, and PCS codes according to AHA – AMA Guidelines, CMS and NGS.

Core Job Responsibilities

Assign the appropriate DRG based on an analysis of the patient file and medical necessity

Assign diagnosis and procedure codes, for accurate and timely billing of most appropriate payer

Resolve diagnosis/procedure inconsistencies, concerns, and establish proper coding in collaboration with providers

Initiate and follow up on queries with providers

Abstract data elements and compile data for statistical reports

Provide education based on recognized trends, including physician documentation

Assist departments with diagnostic and procedural coding

Respond to Insurance, compliance and RAC denials

Review and assist in the maintenance of coding related policies and procedures

Mentor new staff

Perform other duties as required.

Education/Experience Requirements

REQUIRED:

AS in Health Information Management, a related degree or equivalent experience

RHIA, RHIT, CCS, CCA, CPC, CIC Certification

Knowledge of EMR, Coding software, and Microsoft Office

Knowledge/understanding of Patient Safety Indicators (PSI), present on admission reporting requirements, and Hospital Acquired Conditions (HAC) and impact on quality and reimbursement

Knowledge/understanding of SOI/ROM methodology

Good Oral and Written Communication

PREFERRED:

BS in Health Information Management

Knowledge of Epic, 3M encoder, CDI Collaborate and Microsoft Office

2 years of hospital coding experience

Licensure/Certification Requirements

REQUIRED:

RHIA, RHIT, CCS, CCA, CPC, CIC Certification or the ability to obtain

Disclaimer

Qualified applicants will receive consideration for employment without regard to their age, race, religion, national origin, ethnicity, age, gender (including pregnancy, childbirth, et al), sexual orientation, gender identity or expression, protected veteran status, or disability.

Successful candidates might be required to undergo a background verification with an external vendor

Job Details

Req Id 94951

Department CODING

Shift Days

Shift Hours Worked 7.50

FTE 0.94

Work Schedule HRLY NON-UNION-8 HR

Employee Status A1 - Full-Time

Union Non-Union

Pay Range $23 - $35/Hourly