Certified HIM Coder: Precision Coding & Charge Capture

Clarke County Public Hospital; Osceola (IA); Remote; USD 48,000 - 64,000; Full time

Job summary

Clarke County Public Hospital is seeking a skilled Medical Coder to review, code, and abstract outpatient charges, ensuring accuracy and compliance in the hospital's billing system. The role emphasizes documentation completeness, adherence to coding guidelines, and ongoing participation in department initiatives.

The position requires certification as a Coder and involvement in HIPAA and regulatory compliance to support accurate charge capture and deny management.

Qualifications

• Adheres to official ICD-10-CM, CPT-4 and HCPCS coding and reporting guidelines.
• Ensures completeness and accuracy of medical record documentation in accordance with accrediting and regulatory requirements.
• Analysis and review of charges and documentation to ensure accurate charge capture and billing compliance.

Responsibilities

• Responsible for review, coding and abstracting of all outpatient charges for hospital records using the encoder or ICD-10-CM, CPT-4 and HCPCS books, into hospital computer system. Verifies all charges entered on the account.
• Performs deficiency verification for outpatient, clinic, ER and inpatient records verifying all have pertinent and complete documentation, lab reports, x-ray reports, etc. for all services ordered. Verifies orders for testing are complete with date of order, testing ordered and completed, diagnosis, and practitioner signature before coding.
• Responsible for assisting in HIM work queues for coding issues, claim edits and deficiencies.
• Adheres to Local and National Coverage Decisions as distributed by Medicare and/or Title XIX.
• Analysis and review of charges and documentation to ensure accurate charge capture and billing compliance.
• Responsible for correctly abstracting data, i.e. disposition codes correct, date of service correct, place of service, service type correct, etc. when coding.
• Assists in the overflow activities of the department, performing backup coverage for other coders.
• Answers and responds to incoming calls in a courteous and professional manner following the Standards of Behavior. 20%.
• Responsible to participate in completion of department and hospital goals.
• Responsible for attending mandatory in-services, department meetings and other in-services applicable to the department.
• Actively participate in team-oriented decision-making process. Is a team player, willing to be flexible and open to other’s ideas.
• Focus portions of daily work towards high customer satisfaction. The goal of all employees is to meet or exceed our customer’s expectations 100% of the time.
• Develop a proactive mind set towards the job. Observes opportunities for improvement, formulates ideas, communicates those ideas with their supervisors and/or staff, carries out variations in work habits in continuous quality improvement.

Job description

Clarke County Public Hospital is seeking a skilled Medical Coder to review, code, and abstract outpatient charges, ensuring accuracy and compliance in the hospital's billing system. The role emphasizes documentation completeness, adherence to coding guidelines, and ongoing participation in department initiatives.

The position requires certification as a Coder and involvement in HIPAA and regulatory compliance to support accurate charge capture and deny management.