Coder I - Hospital Coding

About the role

Utilizes knowledge of medical terminology, anatomy and physiology, coding software, coding conventions, local medical review policy, APC's, and hospital procedures to code outpatient medical records with ICD-10-CM and CPT4 coding classification systems to ensure accurate, complete and consistent coding for quality data.

Responsibilities

• Review medical record documentation and codes diagnoses and procedures using ICD-10-CM and CPT4 coding conventions for the purpose of reimbursement, research, and compliance with federal and third-party payor regulations.
• Review the medical record to assure specificity of diagnoses, procedures and appropriate/optimal reimbursement for hospital and/or professional charges.
• Abstract information from medical records following established methods and procedures.
• Identifies problem documents and works with submitting departments to correct errors, including potential charging errors.
• Reviews and corrects claim and code edits as required.
• Performs other duties as assigned.

Qualifications

• Education: Accredited program required in coding or a combination of education and experience that provides the requisite knowledge, skills and abilities to perform the job; preferred completion of a formal coding certificate/education program.
• Experience: Minimum of 1 year; preferred directly related work experience abstracting and coding information using ICD-10-CM and CPT-4 coding systems.
• Credentials: Required within 1 year – Certified Professional Coder - Apprentice, Registered Health Information Administrator, Registered Health Information Technician, Certified Coding Associate, Certified Coding Specialist, Certified Outpatient Coder, Certified Professional Coder - Hospital, or Certified Inpatient Coder.

Skills

• Proficient in MS Office (Required)
• Effective written and verbal communication skills (Required)
• Ability to understand and carry out instructions furnished in written, verbal or diagram form (Required)
• Demonstrated good judgment and decision-making skills (Required)
• Good organizational skills and attention to detail (Required)
• Knowledge of Medicare/Centers for Medicaid Services (CMS) requirements (Required)
• Understands outpatient CCI & OCE edits and modifier assignment in compliance with coding guidelines. (Required)
• Ability to work in an independent and/or remote environment. (Required)
• 3M or other CAC experience strongly (Preferred)
• Epic EMR experience (Preferred)

Benefits

• Full medical/dental/vision coverage
• 403b retirement plan employer base and matching contributions
• Paid time off
• Employer-paid life and disability insurance with additional buyup coverage options
• Tuition and continuing education reimbursement
• Wellness benefits
• Expanded EAP and mental health program

Pay

$26.11 – $39.17

Schedule

Full Time, 1.00 FTE, Day