Coder

McPherson Center for Health; McPherson, Northern (KS, KY); Hybrid; USD 55,000 - 75,000; Part time

Benefits offered by this job

Earned Time Off

Free 24-hour fitness center

Job summary

McPherson Center for Health is seeking a Coder to assign diagnosis and procedure codes for inpatient, observation, outpatient surgery, wound care and ED encounters. The role supports accurate and timely claims for reimbursement and requires knowledge of CMS guidelines and DRG/APC systems.

The position is part-time with responsibilities across multiple departments. The ideal candidate has AHIMA/ACCF credentials, 2 years hospital coding experience, and strong clinical knowledge to support coding

Qualifications

• High school degree or equivalent; associate degree in Health Information Management preferred.
• RHIT, RHIA, CCS, CPC-H or eligible for certification within 6 months.
• 2 years of acute hospital coding experience preferred; CPSI knowledge helpful.
• Strong knowledge of ICD, CPT, HCPCS coding conventions and DRG/APC encoders.
• Ability to interpret clinical data and apply coding guidelines.

Responsibilities

• Completes inpatient, observation, outpatient surgery, clinic and Emergency Department coding functions using approved workflow applications.
• Selects principal and secondary diagnoses and procedures accurately; notes complications and discharge dispositions.
• Queries physicians for documentation clarity following coding guidelines.
• Keeps current with AHA, AMA CPT, CMS guidelines and CMS regulations.
• Meets productivity and accuracy targets per HIM policy.
• Mentors staff and contractors as needed.

Skills

Clinical knowledge

Coder software

Coding guidelines

ICD/CPT conventions

DRG/APC knowledge

Education

High school diploma or equivalent

Associate degree in Health Information Management

Tools

None

Job description

Job Description: Coder

Coder Job Summary: This position assigns diagnosis and procedures codes to patient accounts to ensure accurate and timely claims to be submitted to payers for reimbursement. This position needs to be comfortable coding inpatient, observation, outpatient surgery, wound care, and Emergency Department.

Coder Shift Availability:

• Part Time

Coder Benefits:

• Earned Time Off

• Free 24-hour fitness center

Coder Essential Accountabilities:

• Completes inpatient, observation, outpatient surgery, clinic and Emergency Department coding functions utilizing approved system workflow applications for coding, abstracting, and financial billing.
• Demonstrates the ability to achieve accurate, complete and consistent selection of principle and relevant secondary diagnosis and procedures; identifies complications/co-morbid conditions; and verifies discharge disposition codes. Knowledge of CMS-DRGs, Present on Admission indicators, Hospital Acquired Conditions, RHC requirements, CMS-CMGs and other quality indicators that impact reimbursement and public reporting.
• Queries physicians for clarification of documentation as directed by Coding Guidelines, Coding Clinic, CPT Assistant and facility specific guidelines. Ability to determine observation times and adjust for carve outs.
• Responds to billing edit queries from Patient Financial Services within departmental guidelines.
• Follows American Hospital Association (AHA) Coding Guidelines and other regulatory agency directives for ICD, CPT, and HCPCS II coding.
• Maintains current knowledge of coding issues by reading official coding guidelines such as AHA Coding Clinic, American Medical Association (AMA) CPT Assistant, WPS and CMS medical necessity regulations.
• Meets productivity and accuracy requirements consistently per HIM policy.
• Maintains professional certification as mandated by professional organizations (AHIMA, AAPC).
• Assists HIM management in orientation and training of new staff and contract coders, as required. Serves as resource and subject matter expert to other coding staff and hospital staff.
• Attend continuing education seminars via remote or on site as scheduled to maintain credentialing.
• May perform other duties as assigned.

Coder Organizational Accountabilities:

• Completion of HealthStream's education by designated due dates.
• Attends required staff/department/organization’s meetings.
• Demonstrates strong, clear communication skills.
• Upholds the C.A.R.E. Values of McPherson Center for Health
• Exhibits professionalism at all times.
• Maintains confidentiality as required by HIPPA regulations.
• Participates in the professional development of self and team members.

Coder Qualifications:

• Education:

  • High school degree or equivalent, associate degree or equivalent in Heath Information Management preferred.

• Certifications:

  • Registered Health Information Technician (RHIT) or Register Health Information Administrator (RHIA) or Certified Coding Specialist (CCS) or Certified Professional Coder-Hospital (CPC-H) or must be eligible to sit and successfully pass one of the above mentioned coding certification or professional credentials within 6 months of hire.

• Experience:

  • 2 years of acute hospital coding experience preferred and working knowledge of CPSI preferred.

• Skills:

  • Highly knowledgeable of clinical information such as disease process, pathology, pharmacology, anatomy and physiology, and procedural and surgical intervention.

  • Knowledge of computerized encoder and abstracting systems as well as coding guidelines.

  • Essential knowledge of ICD coding conventions, CPT coding conventions and DRG/APC encoder applications.

  • Mastery of coding guidelines for sequencing and selection

Coder Working Conditions:

• Hazardous Working Conditions:

  • No exposure to hazardous conditions

• Environmental Surroundings:

  • Located in a comfortable indoor area.

• Physical Working Conditions:

  • Sitting 95%; Walking/standing 5%

  • Ability to lift light materials 10-25 lbs.

We are an equal opportunity employer and prohibit discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability, status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.