BO Coder FT

Wilson County Memorial Hospital District; Floresville (TX); On-site; USD 45,000 - 65,000; Full time

Job summary

Wilson County Memorial Hospital District in Floresville, TX seeks a full-time Medical Records Coder to assign ICD-9-CM/HCPCS codes and abstract data for DRG reimbursement. You will work under supervision, ensuring complete, accurate records.

Requires an Associate's degree or equivalent, RHIT/RHIA/CCS certification preferred, and six months to one year related experience. Knowledge of Medicare/Medicaid guidelines and hospital coding policies is essential.

Qualifications

• Associate's degree (AA) or equivalent from a two-year college or technical school.
• RHIT, RHIA, or CCS certification preferred; required if available.
• Six months to one year related experience and/or training.
• Knowledge of Medicare/Medicaid guidelines and hospital reimbursement.
• Ability to abstract, code, and verify data accurately.

Responsibilities

• Abstract and code diagnoses, operations, and procedures from health records.
• Prepare statistical reports per regulations and hospital policy.
• Assign severity of illness ratings and supplemental codes.
• Collaborate with clinicians to ensure complete, current records.
• Maintain health record indexes and retrieval systems.

Skills

Medical coding

DRG knowledge

HIPAA compliance

Data abstraction

Education

Associate's degree

RHIT/RHIA/CCS certification preferred

Tools

ICD-9-CM coding

HCPCS coding

Hospital abstracting system

Job description

Job Details

Job Location: CMMC South Campus - Floresville, TX 78114

Position Type: Full Time

Education Level: High School

Travel Percentage: None

Job Shift: Day

Job Category: Admin - Clerical

Summary Under general supervision and according to established procedures, assigns diagnostic codes to medical record information. Codes charts under the ICD 9 CM and HCPCS System for statistical and DRG assignment purposes. Abstracts required data into hospital abstracting system. The outcome of information gathered is used to determine the hospital database and reimbursement of hospital claims.

Essential Duties and Responsibilities include the following. Other duties may be assigned.

• Abstracts and codes diagnoses, operations, and procedures from health records by using appropriate classification systems, standards, and procedures.
• Prepares statistical reports required by applicable legal, accrediting, and/or licensing regulations and hospital policy.
• Assigns patient severity of illness index ratings, supplemental codes, and other data as necessary.
• Compiles information and data from health records and computer systems for use in the evaluation of quality of care and utilization review.
• Monitors completion of medical records in accordance with time standards.
• Audits incomplete records and prepares reports on delinquencies.
• Confers with doctors, nurses, and other health personnel to assure complete, current, and accurate medical records.
• Compiles and maintains logs, reports, and statistical records, and researches records to locate health data as requested.
• Maintains and utilizes variety of health record indexes and storage and retrieval systems.
• Operates computer to process, store, and retrieve health information.
• Assists in identification of medical records needed for research, using both manual and computer indexes.

Education and/or Experience

Associate's degree (A. A.) or equivalent from two-year college or technical school; or six months to one year related experience and/or training; or equivalent combination of education and experience.

Must be able to perform concurrent chart review for proper DRG estimations for reimbursement. Must be educated in Medicare, Medicaid, and other insurance reimbursement guidelines.

Certificates, Licenses, Registrations

Equivalent to an associate's degree in medical information technology (with course work in medical terminology, anatomy, physiology, disease processes, ICD 9 CM coding and prospective payment) required.

RHIT, RHIA, or CCS required.

QualificationsEducation and/or Experience

Associate's degree (A. A.) or equivalent from two-year college or technical school; or six months to one year related experience and/or training; or equivalent combination of education and experience.

Must be able to perform concurrent chart review for proper DRG estimations for reimbursement. Must be educated in Medicare, Medicaid, and other insurance reimbursement guidelines.

Certificates, Licenses, Registrations

Equivalent to an associate's degree in medical information technology (with course work in medical terminology, anatomy, physiology, disease processes, ICD 9 CM coding and prospective payment) required.

RHIT, RHIA, or CCS required.