Certified Coder

About the Role

Bayhealth Medical Center is Central and Southern Delaware’s healthcare leader with hospitals in Dover and Milford, as well as stand-alone Emergency Departments in Smyrna and Milton. We offer various practice settings throughout Kent and Sussex Counties. Our Kent Campus is 90 minutes from Philadelphia, Washington, DC, and Baltimore, while our Sussex Campus is 30 minutes from the Delaware beaches.

Responsibilities

• Abstracts clinical information from medical records, charts, and documents and assigns appropriate ICD-9/ICD-10 and/or CPT-4 codes to patient records according to established procedures.
• Works with coding databases and confirms DRG assignments.
• Codes data from patient records utilizing computerized coding systems to ensure optimal reimbursement of the hospital.
• Translates diagnostic and procedural information into the International Classification of Diseases codes and sequences these codes to optimize hospital reimbursement through computerized encoding and DRG grouper applications.
• Abstracts data from patients’ medical records using the computerized abstracting system to compile accurate and timely statistical data.
• Reviews and analyzes all patient types to determine the principal diagnosis and procedure, as well as other significant diagnoses and procedures, especially those for which reimbursement is DRG dependent.
• Identifies and verifies medical and surgical complications, comorbidities, and medical necessity.
• Works independently reviewing medical record documentation, laboratory reports, radiology reports, and consultation reports to identify medical conditions evaluated and treated during the visit.
• Corrects abstracts with incorrect codes requested by Finance or third-party payors to ensure compliance with required regulations and accreditation standards.
• Responds to physician inquiries regarding proper documentation of diagnostic and procedural information and questions about coding assignments.
• Performs all other duties as assigned, within the scope and range of job responsibilities.

Requirements

• Certificate Program in Medical Coding & Billing.
• High School Diploma or GED.
• Certified Professional Coder (CPC) or CPC-A, RHIA credential.
• Six months of experience in coding or medical records using ICD and CPT coding systems (required).
• One year of coding experience in a healthcare facility (preferred).

Benefits

• Generous Paid Time Off and Paid Holidays.
• Matching 401(k)/403(b) Plans.
• Excellent Health, Dental, and Vision Insurance options.
• Disability and Life Insurance options.
• On-Site Child Care.
• Educational Reimbursement.
• Health Care and Dependent Care Flex Spending Accounts.
• Voluntary Benefits including Critical Care Coverage and more.

Pay

Salary range: $23.32 - $34.97 hourly.

Schedule

• Status: Full Time (80 Hours).
• Shift: Days.