Offer summary

Qualifications:

High School Diploma or GED required., Minimum of 2 years experience in coding complex inpatient accounts., Certification as CCS, CIC, RHIT, or RHIA is required., Advanced knowledge of ICD-10-CM, ICD-10-PCS, CPT, and HCPCs coding guidelines..

Key responsibilities:

Assign and sequence diagnostic and procedural codes for inpatient and outpatient accounts.

Review physician documentation for accuracy and compliance with coding guidelines.

Maintain communication with providers regarding documentation issues impacting revenue.

Assist Patient Financial Services with code interpretation for accurate billing and reimbursement.

Job description

Coder II - Inpatient

Monday - Friday; 7:30 am - 4 pm

Job Summary

Assigns and sequences ICD-10-CM, ICD-10-PCS, CPT, and HCPCs codes through review of Inpatient or Outpatient clinical documentation and diagnostic results as appropriate for billing, internal and external reporting, research, and regulatory compliance. Codes complex accounts which require advanced expertise in coding subject matters.

Inpatient: Assigns and sequences ICD-10-CM and ICD-10-PCS diagnostic and procedural codes for inpatient accounts within HonorHealth. Reviews physician documentation & coding for appropriateness & accuracy in accordance with Medicare and American Medical Association (AMA) coding guidelines. Utilizes electronic medical record and computer-assisted coding (CAC) software. Codes complex accounts. Assigns DRGs as applicable.
Outpatient: Assigns and sequences ICD-10-CM, ICD-10-PCS, CPT, and HCPCs diagnostic and procedural codes for multiple outpatient accounts such as (same day surgery, endoscopy, ED/Trauma, breast health, or other more complex patient type) within HonorHealth. Reviews physician documentation & coding for appropriateness & accuracy in accordance to Medicare and American Medical Association (AMA) coding guidelines. Utilizes electronic medical record and computer-assisted coding (CAC) software. Codes complex accounts. Addresses NCCI, OCE, LCD, and other applicable coding edits.
Inpatient/Outpatient: Complies with system-wide coding practices to meet corporate compliance guidelines and to ensure appropriate and effective reimbursement with Patient Financial Services, medical staff and various departments. Reviews and analyzes medical records for accurate code selection.
Inpatient/Outpatient: Maintains query communication with providers to ensure timely notification of identified documentation issues that may impact revenue or compliance.
Inpatient: Assists Patient Financial Services with interpretation of codes and /or other information requested for accurate billing and reimbursement. Possesses knowledge and understanding of failed bill parameters
Outpatient: Assists Patient Financial Services with interpretation of codes and /or other information requested for accurate billing and reimbursement. Possesses knowledge and understanding of failed bill parameters. Performs outpatient charge validation/ reconciliation to ensure all submitted charges are posted timely and balance with total submitted charges. Assigns charges as applicable.
Resolves routine coding issues/problems and appropriately seeks assistance from Coding Supervisor.
Keeps supervisor informed of issues/problems and other such activities.
Participates in continuing education activities to enhance knowledge, skills, and keep credentials current.
Performs other duties as assigned.

Qualifications

Education

High School Diploma or GED Required

Experience

2 years Inpatient: Two years experience in coding complex inpatient accounts including extended length of stay and extensive surgical and or medical accounts.

Licenses and Certifications

Inpatient:

CCS (Certified Coding Specialist), or

CIC (Certified Inpatient Coder), or

RHIT (Registered Health Information Technician), or

RHIA (Registered Health Information Administrator)

Required

Required profile