Coder III

At St. Tammany Health System, delivering world-class healthcare close to home is our goal. We are committed to attracting and retaining the very best professionals for every position in our health system. The health system is nestled in the heart of Covington on the north shore of Lake Pontchartrain—a peaceful, scenic, community-oriented area with an abundance of amenities to suit every taste.

About the role

The Hospital Coder II reviews and accurately codes and abstracts the most complex hospital services such as same day surgeries, in-patient procedures, overnight/multi-night stay services, and all other complex medical services. The Hospital Coder II utilizes appropriate coding guidelines to assign ICD and CPT codes, ensuring compliance with Medicare, Medicaid, and other third-party payor guidelines for accurate reimbursement. Works in collaboration with the Clinical Documentation Improvement team to ensure accurate DRG assignment and closely with management to resolve problems and meet deadlines.

Responsibilities

• Review and accurately code complex hospital services, including same day surgeries, in-patient procedures, and multi-night stays.
• Assign ICD and CPT codes using appropriate coding guidelines.
• Ensure compliance with Medicare, Medicaid, and other third-party payor guidelines for accurate reimbursement.
• Collaborate with the Clinical Documentation Improvement team to ensure accurate DRG assignment.
• Work closely with management to resolve problems and meet deadlines.

Requirements

• High School diploma or equivalent required.
• Certified Coding Specialist (CCS) required or 3 years of inpatient coding experience in lieu of CCS.
• 3–6 years of coding experience OR demonstrated success in coding complex medical services with consistent accuracy may substitute for educational qualifications.
• Knowledge of ICD-10 coding principles and guidelines.
• Basic computer skills.
• Effective verbal and written communication skills.
• Strong decision-making, problem-solving, and analytical skills.

Preferred Qualifications

• Bachelor’s or Associate degree.

Physical Demands

• Must possess good physical health.
• Requirements include standing, sitting, or walking for long periods of time.
• Lifting at least 10 pounds is required.

Physical effort required:

• Constant (67%–100%): Handling/feeling, hearing, seeing.
• Frequently (34%–66%): Reaching.
• Occasionally (1%–33%): Lifting, carrying, pushing/pulling, balancing, crouching, stooping, talking.

Schedule

Scheduled weekly hours: 40