Certified Coder

Bayhealth; Dover (DE); On-site; USD 66,821,865 - 100,203,868; Full time

Benefits offered by this job

Paid time off

401(k) plan

Health/dental/vision

Disability and life insurance

On-site child care

Educational reimbursement

FSA / Dep Care FSAs

Voluntary benefits

Job summary

Bayhealth Medical Center is seeking a Medical coder to abstract clinical information, assign ICD-9/ICD-10 and CPT-4 codes, and ensure accurate DRG grouping and reimbursement. This role supports the Kent Campus operations in Dover, DE with day shifts and full-time hours.

The position requires a certificate in medical coding, CPC certification (or CPC-A/RHIA) and at least six months of coding or medical records experience. A healthcare facility background is preferred.

Qualifications

• Certificate program in medical coding or billing.
• Certified Professional Coder (CPC) or CPC-A/RHIA required.
• Six months experience coding or medical records using ICD/CPT.
• One year coding experience in a healthcare facility preferred.

Responsibilities

• Codes data from patient records using ICD/CPT to optimize hospital reimbursement.
• Abstracts data from medical records to compile accurate statistics and determine diagnoses.
• Identifies medical conditions and verifies medical necessity from documentation.
• Corrects abstracts with incorrect codes per Finance or third parties.
• Responds to physician inquiries about documentation and coding assignments.
• Performs all other duties within the scope of job responsibilities.

Skills

Medical coding

Data abstraction

ICD/CPT coding

Attention to detail

Education

Certificate Program

Medical Coding & Billing

Certified Professional Coder (CPC)

CPC-A / RHIA

Job description

If you care about the opportunity to grow, to make a difference, to build a future and a life, then we just might have the career for you. Care to talk?

Bayhealth Medical Center is Central and Southern Delaware’s healthcare leader with hospitals in Dover and Milford, as well as a stand‑alone Emergency Department in Smyrna and a hybrid Emergency Department and Urgent Care in Milton. We offer various practice settings throughout Kent and Sussex Counties. Bayhealth Medical Center Kent Campus is 90 minutes from Philadelphia, Washington, DC and Baltimore. Our Sussex Campus is 30 minutes to the Delaware beaches and relaxation in the sand!

Benefits

• Generous Paid Time Off and Paid Holidays
• Matching 401(k)/403(b) Plans
• Excellent Health, Dental, and Vision
• Disability and Life Insurance options
• On Site Child Care
• Educational Reimbursement
• Health Care and Dependent Care Flex Spending Accounts
• Plus, an array of Voluntary Benefits to include Critical Care Coverage and more!

Location: Kent Campus Hospital

Status: Full Time 80 Hours

Shift: Days

Salary Range: 23.32 - 34.97 HOURLY

General Summary

Abstracts clinical information from a variety of medical records, charts and documents and assigns appropriate ICD-9 /ICD-10 and/or CPT-4 codes to patient records according to established procedures. Works with coding databases and confirms DRG assignments.

Responsibilities

• Codes data from patient records utilizing computerized coding systems to ensure optimal reimbursement of the hospital. Translates diagnostic and procedural information into the International Classification of Diseases codes and sequences these codes in a manner which legitimately optimizes hospital reimbursement through the use of a computerized encoding and DRG grouper application.
• Abstracts data from patients’ medical records using the computerized abstracting system in order to compile accurate and timely statistical data. The Coder reviews and analyzes all patient types to determine the principal diagnosis and procedure and other significant diagnoses and procedures, especially for those which reimbursement is DRG dependent.
• Identifies and verifies medical and surgical complications and comorbidities as well as medical necessity. Works independently reviewing medical record documentation, laboratory reports, radiology reports, and consultation reports to identify medical conditions evaluated and treated during the visit.
• Corrects abstracts with incorrect codes requested by Finance or third party payors to ensure compliance with required regulations and accreditation standards.
• As needed, responds to physician inquiries that concern the proper documentation of diagnostic procedural information and questions regarding coding assignments.
• All other duties as assigned, within the scope and range of job responsibilities.

Required Education, Credential(s) and Experience

• Education: Certificate Program
• Medical Coding & Billing
• Credential(s): Certified Professional Coder
• Or: CPC-A, RHIA
• Experience: Required: Six months experience in coding or medical records using ICD and CPT coding systems. Preferred: One year coding experience in healthcare facility.

Preferred Education, Credential(s) and Experience

• Education:
• Credential(s):
• Experience:

To view a full list of all open position at Bayhealth, please visit:
https://apply.bayhealth.org/join/