Clinical Coder (Full-time, Days, Remote)

Position Summary

Demonstrates commitment to the Standards of Ethical Coding as set forth by the American Health Information Management Association AHIMA. Assigns codes based upon clinical coding guidelines. Assigns ICD-10-CM diagnostic, procedure codes with appropriate present on admission indicators to inpatient records, based upon the practitioner clinical documentation. Determines appropriate MS-Diagnostic Related Group DRG based upon diagnoses and procedure codes assigned. Assigns ICD-10-CM diagnostic and CPT procedure codes and modifiers to outpatient accounts. Applies drug administration charges to outpatient accounts based on the clinical documentation and guidelines. Applies observation hour charges to observation accounts based on the clinical documentation and guidelines. Reviews and appropriately applies modifiers to the NCCI National Correct Code Initiative and OCE Outpatient Code Edits. Abstracts required clinical and demographic data from inpatient and outpatient records. Participates in data quality peer review process, reviewing records according to established procedure.

Minimum Required Qualifications

• High school diploma or equivalent GED
• Formal education in ICD-10-CM PCS and CPT-4 coding, medical terminology, anatomy and physiology
• Certification as a Certified Coding Specialist CCS or Certified Coding Specialist-Physician CCS-P through AHIMA American Health Information Association, or certified by AAPC American Association Professional Coders with certification as a Certified Professional Coder CPC , or Certified Professional Coder-Hospital Outpatient COC
• If not certified, coding certification is required within three 3 years of employment
• Experience in ICD-10-CM PCS coding MS-DRG assignment this may include student work experience
• Experience in CPT-4 coding this may include student work experience
• Some experience with encoding software

Qualifications

• H.S. Diploma/GED
• Certified Coding Specialist
• Certified Professional Coder CPC

Benefits

We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region.