Coder III

About the role

Under general supervision, reviews medical record documentation to abstract and assign diagnoses, procedures, and modifiers for statistical classification and reimbursement purposes. Performs various coding assignments under the direction of Coding Management. Provides feedback regarding documentation and coding issues. Utilizes software applications and coding references to perform coding related tasks. Additionally, assists in training, mentoring, and quality assurance of Level I and Level II coders as directed by Coding Management. Required to interact with clinical departments as needed. Demonstrates leadership and teambuilding skills.

Responsibilities

• Meets or exceeds the minimum coding productivity standard for the type or coding performed.
• Submits a fully completed and accurate production log weekly in a timely manner.
• Meets or exceed the minimum coding accuracy rate of 95%.
• Meets or exceeds the minimum timeliness standard.
• Participates in coder and provider education including documentation improvement efforts for providers.
• Interacts with providers, nursing staff, and departments as assigned.
• Assists in the training and quality assurance of Level I and II coders.
• Completes any required coding training or other assigned coding instruction.
• Participates in departmental coding and educational meetings and trainings.
• Maintains current coding credential and pursues additional coding credentials.
• Follows all hospital and departmental procedures and directions given by Coding Management.
• Manages resources in a conservative, responsible and cost-effective manner.
• Ensures confidentiality of patient information by creating and maintaining a secure and trusting environment.
• Works as a member of a coding team for the successful benefit of the department and DHHA.
• Strives for strong unit cohesion by working well with other members of the team and performing tasks in a manner that maintains the unit cohesion.

Education

• High School Diploma or GED Required

Work Experience

• 4–6 years medical coding with multi-specialty experience or specialty certification.
• Required procedural coding experience.
• Required experience reviewing medical record documentation.

Licenses

• CCS – Certified Coding Specialist – AHIMA – American Health Information Management Association Required
• or
• CPC – Certified Professional Coder – AAPC – American Academy of Professional Coders Required

Knowledge, Skills and Abilities

• Applies advanced knowledge of coding, with a knowledge of hospital based academic guidelines.
• Knowledge of encoder and data abstraction software.
• Strong knowledge of billing and reimbursement.
• Possess good oral and written communication skills.
• Possess strong organizational skills and the ability to work independently and meet deadlines.
• Must be capable of reading and interpreting coding guidelines and making subsequent coding decisions.
• Knowledgeable in researching coding related topics and issues.
• Ability to handle a fast paced environment and be a positive role model.
• Must pass a coding proficiency pre-hire test with 80% accuracy or higher.
• Good computer keyboarding skills.
• Knowledge of Microsoft Office Suite.
• Epic experience helpful.
• 3M encoder experience helpful.

Benefits

• Paid time off starting at 28 days per year, inclusive of vacation, personal/sick, and 7 Holidays
• 100% paid parental leave up to 6 weeks
• Immediate eligibility for retirement plans with employer contribution up to 9.5%
• Generous medical, dental, vision plans in addition to employer paid disability and life insurance
• Comprehensive well-being programs including on-site employee fitness center located on Denver Health main campus and nationally recognized RESTORE Center
• Free RTD EcoPass (public transportation)
• Childcare discount programs & exclusive perks on large brands, travel, and more
• Tuition reimbursement & assistance
• Education, coaching, and professional development opportunities through the Workforce Development Center (WFDC) that support internal career growth and advancement pathways
• Professional clinical advancement program & shared governance
• Public Service Loan Forgiveness (PSLF) eligible employer + free student loan coaching and assistance navigating the PSLF program
• National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer

Pay

$28.69 – $41.60 per hour