Coder III- REMOTE

Do you want to work at one of the Top 100 Hospitals in the nation? We are guided by our values of Love and Excellence and are passionate about delivering health, not just health care. Come join us at ChristianaCare! ChristianaCare, with hospitals in Wilmington and Newark, DE, as well as Elkton, MD, is one of the largest health care providers in the Mid-Atlantic Region. Named one of “America’s Best Hospitals” by U.S. News & World Report, we have over 1,100 beds and are committed to providing the best patient care in the region. Christiana Hospital, Wilmington Hospital, our Ambulatory Services, and HomeHealth have all received ANCC Magnet Recognition®.

About the role

ChristianaCare is currently seeking a full-time Coder III to be responsible for accurate and timely assignment of ICD 10 CM/PCS and HCPCS/CPT codes, payment group classification assignment, and data abstraction for reimbursement purposes and statistical information reporting on all Inpatient, Outpatient, Emergency Medicine, Ancillary, and Diagnostics records, and/or any other patient records for which the HIMS Department performs coding services. Meets or exceeds productivity and accuracy standards outlined in the HIMS Coding Policies and Procedures.

Schedule

The schedule and hours for this position are very flexible, and we will work with you to build a schedule that supports work/life balance. This position is 100% remote, and we encourage national candidates to apply.

Responsibilities

• Reviews and interprets Inpatient, Outpatient, Ancillary, Diagnostics, and Emergency Medicine or other patient-type records to assign appropriate ICD 10 CM/PCS diagnosis and procedure codes and/or HCPCS/CPT procedure codes as required based on record type and CCHS reporting practices.
• Performs coding and abstracting tasks to support accurate and timely billing, data quality and statistics, and calculation of severity of illness and risk of mortality reporting. Follows UHDDS definitions, CMS regulations, and Official and Internal Coding Guidelines.
• Utilizes information on diagnostic reports (e.g., radiology, pathology, EKG reports, laboratory values, doctors’ orders, and administrative medication forms) to accurately code patient charts in accordance with the Official Coding Guidelines.
• Completes daily work assignments as directed by Coding Support.
• Works within service line structure where applicable based on patient type.
• Serves as a mentor to newer coders or those being trained in a new coding discipline.
• Abstracts pertinent data, determines and sequences codes for diagnoses and procedures, and enters all information into the coding and abstracting system. Utilizes the system as a communication tool, including placing accounts on hold to ask questions or initiate queries.
• Receives feedback and reviews charts with a member of the Coding Management Team for accurate code assignment.
• Provides all necessary coded and abstracted information required for final coding and billing of accounts within productivity expectations to support department and organization goals for DNFB dollar amounts and bill hold days.
• Reviews prepopulated patient demographic information fed via HL7 from source system into coding system and makes necessary abstracted data changes for accurate posting to CCHS billing system.
• Utilizes coding system to calculate all inpatient encounters in both MS DRG and APR DRG groupers to support accurate reporting of coded data for severity of illness and risk of mortality.
• Utilizes coding system to sequence CPT codes invoking the APC grouper methodology to arrive at the proper CPT code hierarchy.
• Submits timely, accurate, and concise daily productivity reports in accordance with department policy and practice.
• Attends and participates in coding section and department meetings, in-service training sessions, seminars, and workshops.
• Reports errors in patient identification, account or encounter information, documentation, or other medical record discrepancies as noted during daily work performance.
• Supports the Coding Management team by working on special coding projects as assigned.
• Works with the HIMS Coding Systems Analyst under the direction of HIMS management to achieve IT initiatives, including systems testing and report reconciliation in coding and billing systems, as well as other IT project support.
• Works with the HIMS Coding Support Team under the direction of HIMS management to achieve revenue cycle goals, including working through aged coding accounts, accessing billing system reports, and queues as needed.

Requirements

• CCS credential required.
• College Degree in Health Information Management, completion of an AHIMA-approved Certificate Program, or one year of coding experience in the acute care setting coding Inpatient, Observation, Emergency Medicine, or Same Day Surgery is required.
• Associate or Bachelor of Science degree in Health Information Technology preferred.
• An equivalent combination of education and experience may be substituted.

Benefits

• Full Medical, Dental, and Vision insurance.
• Life Insurance.
• 403(b) retirement plan with company match.
• Generous paid time off.
• Work/Life benefits including annual membership to care.com, access to backup care services for dependents through Care@Work, retirement planning services, financial coaching, and fitness and wellness reimbursement.
• Discounts through several vendors for hotels, rental cars, theme parks, shows, sporting events, movie tickets, and more.

Pay

Hourly pay range: $27.31 - $40.96. The actual salary within this range offered to a successful candidate will depend on individual factors including skills, relevant experience, and qualifications as they relate to specific job requirements.