CERTIFIED CODER - HOSPITAL

Horizon Health; Paris (IL); On-site; USD 29,000 - 47,000; Full time

Job summary

Horizon Health in Paris, IL is seeking a skilled Medical Coder to assign CPT/AMA-defined codes and manage E/M coding in Athena EHR. You will collaborate with physicians to ensure accurate diagnoses for billing and maintain HIPAA compliance.

Located at 908 N Main Street, Paris, IL 61944, the role emphasizes adherence to regulatory guidelines and ongoing review of uncoded visits to support timely claim releases.

Qualifications

• Certified coding credentials required or in process.
• Proficient with medical terminology and disease processes.
• Knowledge of CMS coding and DRG optimization preferred.

Responsibilities

• Enter and code patient records in the EHR according to CPT/AMA guidelines.
• Assign accurate E/M codes and ensure coding accuracy with physicians.
• Review uncoded visit lists and facilitate claim release in Athena EHR.
• Maintain HIPAA confidentiality and compliance with regulations.

Skills

RHIT

RHIA

CCS

CPC

Education

RHIT

RHIA

CCS

CPC

Tools

Athena EHR

3M Encoder

Job description

Horizon Healthis a Critical Access, Rural Health Facility comprised of 25-inpatient beds located in Paris, IL & a multitude of outpatient clinic settings including Family Practice and Specialty Clinics in Paris and surrounding cities. We have been serving residents of Edgar County since 1968 though community education, emergency services, and outpatient care. As we continue to expand our services & locations, our community has grown far beyond Paris. Our rich history and strong community support pave the way for the future of healthcare as we serve you—our family, friends, and neighbors.

Position Summary:

Codes and/or bills the patient's medical record using pertinent information according to departmental and Horizon Health policy and procedures. Uses the healthcare coding systems to accurately assign codes to patient accounts and may require entering billing entries.

Essential Functions:

• Data entry for the facility software using the electronic health record and any scanned or written reports. Uses Athena and 3M Encoder system for each patient appropriately.
• Assign accurate Evaluation and Management codes per the CPT guidelines for AMA.
• Follows Coding Query Policy when communicating with physicians to obtain an appropriate diagnosis for diagnostic tests ordered and to promote coding accuracy.
• Regularly reviews coding changes and regulatory agency requirements; maintain current information concerning Medicare, Medicaid and private insurance regulations specific to coding and billing. Assign accurate and complete codes based upon physician documentation.
• Maintain strict observation of rules pertaining to confidentiality and HIPAA.
• Review regularly the "uncoded" patient visit listing and obtain the required information to facilitate release of the claim in the Athena EHR.
• Demonstrates ability to analyze situations and arrive at sound practical decisions.
• Review outpatient visits included in current worklist assignment to ensure that results/reports are available for all tests ordered.
• Demonstrates knowledge and proper use of office equipment and designated computer system.
• Demonstrates ability to prioritize time to meet hospital needs. Demonstrates ability to work and communicate with others and willingness to help others accomplish facility objectives.
• Productivity: DNFB coding goals as determined by the Revenue Cycle Director. Monitored by the Health Information Manager.

The responsibilities listed above are not all-inclusive; other activities may be required in support of the hospital's goals and objectives.

Position Information:

This role is located at 908 N Main Street, Paris, IL 61944

Position Requirements:

• Registered Health Information Technician/RHIT, Registered Health Information Administrator/RHIA, Certified Coding Specialist/CCS, Certified Coding Specialist-physician base/CCS or Certified Professional Coder (CPC) required for this wage grade. Uncertified Coder is in a different category. Maintains continuing education and provides documentation of certification for inclusion with annual evaluation.
• Previous coding experience is required
• Advanced knowledge of medical terminology is required with a working knowledge of disease processes, anatomy, physiology and pharmacology required.
• Previous knowledge of CMS coding and DRG optimization experience preferred

Pay Range:

Pay ranges from $21.351/hour to $34.161/hour (rate of pay is based on applicable years of experience)

Horizon Health is committed to caring not only for our patients, but for our staff as well. We offer you an extensive total compensation and benefits package. As an employee of Horizon Health, your benefits include a competitive salary, medical, dental and vision insurance, Employee 403(b), health savings account with Company match, as well as Vacation, Sick and Paid Holidays.