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Veterans in Healthcare · 1 day ago

HIM Coder I - HIM Financial - Full Time 8 Hour Days (Non-Exempt) (Non-Union)

United States

Full-time

Remote

New Grad, Entry Level

$33/hr - $54.02/hr

Veterans in Healthcare is seeking a HIM Coder I to work fully remote. The role involves accurately coding and abstracting medical records using various coding systems while ensuring compliance with federal and state coding regulations.

Health CareMilitary

Responsibilities

Outpatient Ancillary/Clinic Visit/Emergency Department coding of all diagnostic and procedural information from the medical records using ICD-10-CM, ICD-10-PCS, and CPT/HCPCS, and Modifier classification systems and abstracting patient information as established and required by official coding laws, regulations, rules, guidelines, and conventions

Reviews the entire medical record; accurately classify and sequence diagnoses and procedures; ensure the capture of all documented conditions that coexist at the time of the encounter/visit, all medical necessity diagnoses, complications, co-morbidities, historical condition or family history that has an impact on current care or influences treatment, and all external causes of morbidity

Enter patient information into inpatient and outpatient medical record databases (ClinTrac/HDM). Ensures accuracy and integrity of medical record abstracted UB-04 & OSHPD data elements prior to billing interface and claims submission

Works cooperatively with HIM Coding Support and/or Clinical Documentation Improvement Specialist in obtaining documentation to complete medical records and ensure optimal and accurate assignment of diagnosis & procedure codes

Assists in the correction of regulatory reports, such as OSHPD data, as requested

Attendance, punctuality, and professionalism in all HIM Coding and work related activities

Consistently assumes responsibility and displays reliability for completion of tasks, duties, communications and actions. Completes tasks accurately, legibly, and in a timely fashion

Performs other duties as requested/assigned by Director, Manager, Supervisor, or designee

Ability to achieve a minimum of 95% coding accuracy rate as determined by any internal or external review of coding and/or department quality review(s)

Ability to achieve a minimum of 95% abstracting accuracy rate of UB-04 and OSHPD data elements as determined by any internal or external review of coding and/or department quality review(s)

Assist in ensuring that all medical records contain information necessary for optimal and accurate coding and abstracting

Recognizes education needs of based on monthly reviews and conducts self-improvement activities

Ability to act as a resource to coding and hospital staff on coding issues and questions

Ability to improve MS-DRG assignments specific to the documentation & coding of PDx, SecDx, CC/MCC, PPx, and SecPx in accordance with official coding laws, regulations, rules, guidelines, and conventions

Ability to improve APR-DRG, SOI, and ROM assignments specific to the documentation & coding of PDx, SecDx, CC/MCC, PPx, and SecPx in accordance with official coding laws, regulations, rules, guidelines, and conventions

Ability to improve APC/HCC assignments specific to medical necessity documentation & coding of PDx, SecDx, and CPT/HCPCS in accordance with official coding laws, regulations, rules, guidelines, and conventions

Maintains at minimum, expected productivity standards (See HIM Practice Guidelines) and strives to maintain a steady level of productivity and provides consistent effort

Works coding queues/task lists to ensure 95% of patient bills are dropped within 5 days after patient discharge/date of service

Works coding queues/task lists to ensures the remaining 5% of patient bills are dropped within 2 weeks of discharge/date of service

Assist other coders in performance of duties including answering questions and providing guidance, as necessary

Assists Patient Financial Services (PFS), Patient Access, and other departments in addressing coding issues/questions and/or providing information so that an interim bill can be generated. Assists with physicians, physician office staff and hospital ancillary department staff with diagnostic or procedural coding issues/questions, as needed

Assists in the monitoring unbilled accounts to ensure that the oldest records are coded and/or given priority

Maintains AHIMA and or AAPC coding credential(s) specified in the job description

Attend coding & CDI seminars, webinars, and in-services to maintain the required annual continued education units (CEU)

Keep up-to-date and reviews ICD-10 Official Guidelines for Coding & Reporting, AHA Coding Clinic, and CPT Assistant to maintain knowledge of the principles of coding

Keep up-to-date and reviews other professional journals and newsletters in a timely fashion to maintain knowledge of the principles of coding

Consistently attend and actively participate in the daily huddles

Consistently adhere to HIM policies and procedures as directed by HIM management

Demonstrates an understanding of policies and procedures and priorities, seeking clarification as needed

Participates in continuously assessing and improving departmental performance

Ability to communicate changes to improve processes to the director, as needed

Assists in department and section quality improvement activities and processes (i.e. Performance Improvement)

Works and communicates in a positive manner with management and supervisory staff, medical staff, co-workers and other healthcare personnel

Ability to communicate effectively intra-departmentally and inter-departmentally

Ability to communicate effectively with external customers

Provides timely follow-up with both written and verbal requests for information, including voice mail and email

Working knowledge and efficient navigation of the Electronic Health Record (EHR): Cerner/Powerchart & Coding mPage

Working knowledge, efficient navigation, & full use of 3M-CRS Encoder system; utilize to expedite coding process; utilize all references

Knowledge & understanding of PFS system (PBAR) functionality and any interface with the coding abstracting system: ClinTrac

Working knowledge, efficient navigation, & full use of ‘HDM/HRM/ARMS Core’ coding & abstracting software

Working knowledge, efficient navigation, & full use of ‘3M 360 Encompass/CAC’

Performs other duties as assigned

Qualification

ICD-10-CM codingCPT-4 coding3M 360 EncompassCertified Coding SpecialistMedical TerminologyAnatomy & PhysiologyOracle's Soarian FinancialsElectronic Health RecordCustomer serviceCommunication skillsOrganization skillsTeamwork

Required

High School or equivalent

Specialized/technical training Successful completion of college courses in Medical Terminology, Anatomy & Physiology, and a certified coding course

Successful completion of the hospital specific OP coding test – with a passing score of ≥70

Experience in using a computerized coding & abstracting database software and an encoding/codefinder systems are required

Demonstrates excellent verbal and written communication skills

Organization/time management skills

Able to function independently and as a member of a team

Demonstrate excellent customer service behavior

Certified Coding Specialist - CCS (AHIMA) or AHIMA Certified Coding Associate (CCA); or AHIMA Certified Coding Specialist - Physician (CCS-P); or AAPC Certified Professional Coder (CPC); or AAPC Certified Outpatient Coding (COC) or AAPC Certified Inpatient Coder (CIC)

Fire Life Safety Training (LA City) If no card upon hire, one must be obtained within 30 days of hire and maintained by renewal before expiration date

Preferred

Prior experience in ICD-9 & ICD-10 (combined) and CPT/HCPCS coding of Outpatient Ancillary/ED medical records in hospital and/or outpatient clinic preferred

Working knowledge of CPT-4 and ICD-9CM coding and computerized billing systems such as IDX