Certified Hospital Coder III

Novant Health; United States; Remote; USD 52,000 - 72,000; Part time

Job summary

Join Novant Health as a Certified Hospital Coder III, an essential member of our Corporate Coding team dedicated to abstracting and coding medical data with precision. This part-time remote role requires expertise in inpatient coding and offers flexibility in hours, fostering an inclusive and supportive work environment.

Qualifications

• Requires three years of experience with inpatient coding.
• Knowledge of ICD-10-CM Official Guidelines and CPT coding.
• Ability to work independently and manage time efficiently.

Responsibilities

• Code and abstract medical data for Novant facility inpatient accounts.
• Review records for accurate documentation and code assignment.
• Utilize resources for coding guidance and ensure compliance.

Skills

ICD-10-CM knowledge

CPT coding

Medical Terminology

Anatomy knowledge

Physiology knowledge

Pharmacology knowledge

Customer service skills

Independent work capability

Teamwork

Education

High School Diploma or GED

Job description

Job Summary

Department: Corporate Coding

Location: Remote for candidates who reside in FL, GA, IN, LA, MS, NV, NC, OK, SC, VA, WY
Schedule: Monday - Friday, flexible work hours after on the job training
Preferred Experience: Three or more years of INPATIENT coding skills across ALL service lines
Employment Type: Part-time, 4 hours per week

What You'll Do:

• The Certified Hospital Coder III team members will abstract and code medical data for all Novant facility INPATIENT accounts as assigned.

• Review Inpatient records for appropriate documentation to utilize for code assignments. Assign ICD-10-CM and PCS codes for procedures to the greatest specificity following Coding Guidelines and compliance regulations.

• Assists in demonstrating medical necessity for procedures performed by ensuring that all documented disease processes are coded.

• Utilizes appropriate resources to research unfamiliar procedures and unusual circumstances found in the medical record. Coding team member refers to AHA Coding Clinic, AHA Coding Clinic for HCPCS, CPT Assistant, The Merck Manual, and Dorland’s Medical Dictionary, the Coders’ Desk Reference, as well as reputable websites to find information.

• All applicants receive assessments prior to scheduling interviews. These assessments evaluate knowledge of ICD-10-CM, ICD-10-PCS, and CPT coding as appropriate.

• Overtime may be required as dictated by organizational business needs.

You Belong Here:

Let Novant Health be the destination for your professional growth. Come join a remarkable team where quality care meets quality service, in every dimension, every time. At Novant Health, one of our core values is f ostering a culture of belonging for our team members. By engaging the strengths and talents of each team member, we ensure a strong organization capable of providing remarkable healthcare to our patients, families and communities. Therefore, we invite applicants from all group dynamics to apply to our exciting career opportunities.

Responsibilities

It is the responsibility of every Novant Health team member to deliver the most remarkable patient experience in every dimension, every time.

• Our team members are part of an environment that fosters team work, team member engagement and community involvement.
• The successful team member has a commitment to leveraging diversity and inclusion in support of quality care.
• All Novant Health team members are responsible for fostering a safe patient environment driven by the principles of "First Do No Harm".

Qualifications

• Education: High School Diploma or GED, required. The Certified Hospital Coder III (CHC III) team member who does not have experience, and the CHC III team member who does have experience, would be required to complete training provided by the education team.
  
• Experience: Minimum three years of experience with acute inpatient (acute or physician) coding with CCS, CCS-P, CCA, CPC, COC, CIC, CRC, or zero years of experience with RHIA or RHIT, required.
• Licensure/Certification:See under experience for requirements.
• Additional Skills (required):Knowledge in ICD-10-CM Official Guidelines for Coding and Reporting and CPT coding classification system, including diagnosis and procedure selection, coding sequencing, and hierarchical condition code capture. Advanced level Medical Terminology. Anatomy, Physiology, and Pharmacology knowledge. Basic computer skills including data entry, email, and windows-based software navigation. Able to work independently, utilize coding resources, and follow departmental guidelines for problem resolution. Effective verbal and written communication and strong customer service skills. Capacity to work overtime during times of unusually high volume or unusual need as workload demands. Ability to drive/travel to multiple locations as needed. Physical Demands - visual acuity with ability to work in a seated position viewing computer screen for extended periods of time; hand/wrist/finger dexterity with frequent keyboard/mouse use. Ability to concentrate for extended periods of time. Organization and prioritization skills for effective workload and time management. Positive attitude and teamwork approach to all activities.
• Additional Skills (preferred):
  • Data Entry: Abstracts required data elements from coded medical records. Enters required data elements into the electronic medical record from coded records. Verifies encounter discharge dispositions, dates of service, and admission status for accuracy, and processes corrections if needed. Ensures accurate abstraction of dates of procedures and performing providers when applicable.
  • Coding: Reviews Inpatient records for appropriate documentation to utilize for code assignments. Assign ICD-10-CM and PCS codes for procedures to the greatest specificity following Coding Guidelines and compliance regulations. Assists in demonstrating medical necessity for procedures performed by ensuring that all documented disease processes are coded. Fulfills requirements of accuracy set forth by Novant Health Corporate Compliance for coding policy. Communicates with physicians for clarification when required using proper procedure. Meets productivity standards.
  • Education: Demonstrates continuous learning as evidenced by personally developed reference materials, online publications etc., to stay abreast of new and revised guidelines, practices and terminology, for reference and application. Maintains credentials, if applicable, and submits written evidence of maintenance. Mentors and assists in the training and professional growth of other team members
  • Research: Utilizes appropriate resources to research unfamiliar procedures and unusual circumstances found in the medical record. Coding team member refers to AHA Coding Clinic, AHA Coding Clinic for HCPCS, CPT Assistant, The Merck Manual, and Dorland’s Medical Dictionary, the Coders’ Desk Reference, as well as reputable websites to find information.
  • Communication: Actively participates in all meetings assigned to maintain communication on issues and workflow. Collaborates and communicates on a daily basis with the supervisor regarding work queue issues seen and to obtain information that may be needed to resolve issues. The CHC III will need to work independently and with the team to help communicate any barriers or successes. Communication will be via email, Zoom, Microsoft Teams, and phone calls. May be responsible for actively participating in multidisciplinary team meetings. Must be able to troubleshoot problems via phone with Supervisor, or IT tech.
  • Team Work: Contributes suggestions for education efforts and activities. Promotes good morale and cooperation. Encourages others and values their input. Anticipates and responds to changing skill requirements.

Job Opening ID

57081

• Education: High School Diploma or GED, required. The Certified Hospital Coder III (CHC III) team member who does not have experience, and the CHC III team member who does have experience, would be required to complete training provided by the education team.
  
• Experience: Minimum three years of experience with acute inpatient (acute or physician) coding with CCS, CCS-P, CCA, CPC, COC, CIC, CRC, or zero years of experience with RHIA or RHIT, required.
• Licensure/Certification:See under experience for requirements.
• Additional Skills (required):Knowledge in ICD-10-CM Official Guidelines for Coding and Reporting and CPT coding classification system, including diagnosis and procedure selection, coding sequencing, and hierarchical condition code capture. Advanced level Medical Terminology. Anatomy, Physiology, and Pharmacology knowledge. Basic computer skills including data entry, email, and windows-based software navigation. Able to work independently, utilize coding resources, and follow departmental guidelines for problem resolution. Effective verbal and written communication and strong customer service skills. Capacity to work overtime during times of unusually high volume or unusual need as workload demands. Ability to drive/travel to multiple locations as needed. Physical Demands - visual acuity with ability to work in a seated position viewing computer screen for extended periods of time; hand/wrist/finger dexterity with frequent keyboard/mouse use. Ability to concentrate for extended periods of time. Organization and prioritization skills for effective workload and time management. Positive attitude and teamwork approach to all activities.
• Additional Skills (preferred):
  • Data Entry: Abstracts required data elements from coded medical records. Enters required data elements into the electronic medical record from coded records. Verifies encounter discharge dispositions, dates of service, and admission status for accuracy, and processes corrections if needed. Ensures accurate abstraction of dates of procedures and performing providers when applicable.
  • Coding: Reviews Inpatient records for appropriate documentation to utilize for code assignments. Assign ICD-10-CM and PCS codes for procedures to the greatest specificity following Coding Guidelines and compliance regulations. Assists in demonstrating medical necessity for procedures performed by ensuring that all documented disease processes are coded. Fulfills requirements of accuracy set forth by Novant Health Corporate Compliance for coding policy. Communicates with physicians for clarification when required using proper procedure. Meets productivity standards.
  • Education: Demonstrates continuous learning as evidenced by personally developed reference materials, online publications etc., to stay abreast of new and revised guidelines, practices and terminology, for reference and application. Maintains credentials, if applicable, and submits written evidence of maintenance. Mentors and assists in the training and professional growth of other team members
  • Research: Utilizes appropriate resources to research unfamiliar procedures and unusual circumstances found in the medical record. Coding team member refers to AHA Coding Clinic, AHA Coding Clinic for HCPCS, CPT Assistant, The Merck Manual, and Dorland’s Medical Dictionary, the Coders’ Desk Reference, as well as reputable websites to find information.
  • Communication: Actively participates in all meetings assigned to maintain communication on issues and workflow. Collaborates and communicates on a daily basis with the supervisor regarding work queue issues seen and to obtain information that may be needed to resolve issues. The CHC III will need to work independently and with the team to help communicate any barriers or successes. Communication will be via email, Zoom, Microsoft Teams, and phone calls. May be responsible for actively participating in multidisciplinary team meetings. Must be able to troubleshoot problems via phone with Supervisor, or IT tech.
  • Team Work: Contributes suggestions for education efforts and activities. Promotes good morale and cooperation. Encourages others and values their input. Anticipates and responds to changing skill requirements.

It is the responsibility of every Novant Health team member to deliver the most remarkable patient experience in every dimension, every time.

• Our team members are part of an environment that fosters team work, team member engagement and community involvement.
• The successful team member has a commitment to leveraging diversity and inclusion in support of quality care.
• All Novant Health team members are responsible for fostering a safe patient environment driven by the principles of "First Do No Harm".