Coder Sr

About the role

The inpatient senior coder will thoroughly review inpatient record accounts to assign correct ICD-10-CM diagnosis codes and ICD-10-PCS procedure codes per industry coding guidelines, utilizing the 3M computer assisted coding software application. Abstracts coded data from the Epic electronic medical record according to the established standard of work, while maintaining established quality accuracy and productivity standards. Works collaboratively with leadership, financial and clinical teams to ensure Diagnostic Related Groups (DRG) or All Patient Refined Diagnostic Related Groups (APR-DRG) accuracy. The outpatient senior coder will review multiple service lines of outpatient services (ambulatory surgery, observation, interventional radiology/cardiology, emergency) record accounts to assign correct ICD-10-CM diagnosis codes, CPT procedure codes, add modifiers, review claim edits, etc. per the industry coding guidelines, utilizing the 3M computer assisted coding software application. Abstract coded data from the Epic electronic medical record according to the established standards of work, while maintaining the established quality accuracy and productivity standards.

Responsibilities

• Consistently Meets Monthly Productivity Standard: ≥100%
• Consistently Meets Biannual Quality Standard: ≥95%
• Use of an electronic medical record and encoder in a remote work environment.
• Codes outpatient or inpatient records according to coding guidelines and conventions.
• Assigns diagnoses and procedures for billing process, data retrieval and research purposes, using numerical codes of ICD-9-CM/ICD-10-CM/PCS and CPT-4 coding.
• Provides education and training regarding coding guidelines of specialty area to clinical and non-clinical staff.
• Communicates, collaborates and acts as a team player with others in order to ensure continuity of services.
• Optimize codes for reporting and generates APCs for all outpatient records.
• Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines.
• Participate in process improvement activities including but not limited to assuring accounts that cannot be coded are held for valid reasons.
• Must attend all staff meetings required by management.

Requirements

• High School Diploma or equivalent
• Associate's Degree Health information technology/management
• 2 years of relevant experience Coding
• CRT-Coding Specialist (CCS) - AHIMA American Health Information Management Association Upon Hire
• OR CRT-Registered Health Information Technician (RHIT) - AHIMA American Health Information Management Association 180 Days
• OR CRT-Registered Health Information Administrator (RHIA) - AHIMA American Health Information Management Association 180 Days

Qualifications

• Bachelor's Degree Health information technology/management
• ICD-10-CM, ICD-10-CPS, CPT coding experience

Benefits

• Comprehensive benefits package to meet your financial, health, and work/life balance goals.
• On-demand pay program powered by Payactiv
• Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
• Optional identity theft protection, home and auto insurance
• Traditional and Roth