HIM Coder III - Remote

Essential Functions

• Sets the correct ICD-10-CM, ICD-10-PCS, CPT or HCPCS codes to each diagnosis and operative procedure based on documentation in the medical record.
• Accurately codes inpatient or outpatient records, with a minimum of four independent codes for outpatient types: emergency, same day surgery, observation, pain clinic, wound clinic, diagnostics, and recurring accounts.
• Follows departmental and official coding guidelines to ensure consistent and accurate coding of diagnostic and procedural data.
• Utilizes 3M 360, CAC, Epic, and other necessary applications for proper coding, ensuring accuracy.
• Ensures that medical staff documentation includes sufficient information for accurate coding and appropriate reimbursement, requesting clarification when needed.
• Aids physicians, their office staff, quality management, and other hospital personnel with coding and DRG/APC questions.
• Determines the sequence of diagnoses according to UHDDS standards.
• Inputs abstract data and codes into the computer to gather administrative and clinical data for distribution to external agencies, third-party payers, administrative staff, and physicians.
• Maintains compliance with institutional policies and procedures for the maintenance of medical records.
• Maintains current knowledge of coding principles and guidelines as they update.
• Achieves a 95% coding accuracy rate and an average weekly utilization productivity of 95% of standard.
• Reviews charts returned by payers for challenges.

Minimum Qualifications

• Completion of a 2-year college or technical school curriculum in Health Information Management, or an equivalent combination of relevant education and experience.
• Preferred completion of a 4-year college curriculum in Health Information Management.
• Five (5) years of acute care hospital coding experience required.
• Licensure or certification as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Coding Specialist-Physician-based (CCS-P), Certified Professional Coder (CPC), Certified Inpatient Coder (CIC), or Certified Outpatient Coder (COC).