Cook Children's Health Care System · 2 weeks ago
HIM Coder Analyst III
Fort Worth, TX
Full-time
Onsite
Entry, Mid Level
2+ years expCook Children's Health Care System embraces an inspiring Promise – to improve the health of every child in our region through the prevention and treatment of illness, disease and injury. The HIM Coder Analyst III plays a crucial role in accurately coding medical records and ensuring compliance with coding guidelines, while maintaining a high level of specificity and accuracy in documentation.
Hospital & Health Care
Responsibilities
Reviews and interprets patient medical record documentation to identify pertinent diagnoses and procedures and assigns ICD-9-CM, ICD-10-CM/PCS and CPT 4 codes accurately and timely to the highest level of specificity based upon physician documentation for inpatient, observation and outpatient ambulatory procedures/treatment room records
Validates the coded data to one or more Diagnosis Related Groupers (DRG) validates the Present on Admission (POA) indicators for accuracy
Primarily codes more complex and difficult inpatient medical records
Identifies and abstracts specified information from the patient medical record and enters data into the electronic health record system for billing and use in all types of CCHCS reporting
Performs extended length of stay coding for interim cycle billing
During inhouse interim coding, reviews for documentation opportunities and queries with CDIS to clarify confusing, incomplete or conflicting information and obtain any needed additional documentation in real time
Assists with coding outpatient surgery, observation outpatient ancillary clinic, specialty clinic and emergency room record visits as necessary
Communicates with physicians and other providers regarding documentation requirements and collaborates with Clinical Documentation Specialists or Quality Auditors on patient cases regarding documentation needs and requirements, and coding and DRG assignment accuracy
Maintains current knowledge of coding, DRG and documentation changes, rules and guidelines
Qualification
Required
RHIA, RHIT required, with CCS highly desired, or CCS with two (2) year minimum full-time current and continuous ICD-10-CM/PCS hospital inpatient medical record coding and prospective payment system, experience with DRG assignment
Technically competent and fluent knowledge in navigation of electronic health record applications, automated encoders, and other software applications and hardware required for job role
Ability to work well independently and productively with minimal guidance and without direct supervision
Must be highly detail oriented, have the ability to remain focused with good organization, interpersonal and communication skills
Ability to maintain confidentiality
Goal oriented, flexible and energetic
Demonstrates superior coding skills, and critical thinking skills
Ability to solve problems appropriately using job knowledge and current policies and procedures
Demonstrated coding knowledge and proficiency is required through on-site skills assessment with a passing score of 90% accuracy prior to hire
Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS) required
Required to provide current American Health Information Management Association (AHIMA) continuing education certification records
Preferred
Outpatient observation and ambulatory surgery with CPT-4 coding and abstracting experience
Pediatric coding experience
Experience using Microsoft Office Excel and Word
Company
Cook Children's Health Care System
Cook Children's Health Care System embraces an inspiring Promise – to improve the health of every child in our region through the prevention and treatment of illness, disease and injury.
5001-10000 employees
Funding
Current Stage
Late StageLeadership Team
Mike Simmons
President & CFO Cook Children's Home Health
Stephen Kimmel
Chief Financial Officer
Recent News
Company data provided by crunchbase