CODER/HEALTH INFORMATION MANAGEMENT TECHNICIAN/Full-time

Boundary Community Hospital; Bonners Ferry (ID); On-site; USD 60,000 - 80,000; Full time

Job summary

Boundary Community Hospital seeks an experienced HIM Coder/Technician II to ensure patient records comply with state and federal standards and to support coding for inpatient and outpatient accounts using ICD-10-CM, CPT, and HCPCS guidelines.

The role supports the HIM Manager with daily department tasks including ROI, scanning, data gathering for registries, and maintaining data dictionaries while collaborating with clinicians and staff in a fast-paced hospital setting.

Qualifications

• High School Diploma required with CCS certification from AAPC or AHIMA, or 5+ years of ICD/CPT/HCPCS coding in hospital settings.
• RHIT certification preferred.
• Experience interpreting varied instructions and strong medical terminology.
• Advanced computer skills in Microsoft Office and EMR systems; 50 wpm keyboard.
• Ability to present statistics and coding information clearly.

Responsibilities

• Code ED, Outpatient, and Inpatient accounts accurately to ensure proper reimbursement.
• Complete chart reviews for analytical and care purposes.
• Contact physicians/ departments to obtain accurate diagnoses for coding.
• Transmit and transcribe urgent dictations as needed.
• Manage release of information and maintain data dictionaries.

Skills

Coding proficiency

Organizational skills

Interpersonal skills

Data analysis

Communication skills

Education

High School Diploma

CCS coding certification (AAPC/AHIMA)

RHIT certification preferred

Tools

Meditech/EPIC EMR

Microsoft Word

Microsoft Excel

Microsoft Outlook

Job description

Job Details: Job Location: Bonners Ferry, ID 83805, Position Type: Full Time

POSITION SUMMARY:

The HIM Coder/Technician II is responsible for ensuring patient record documentation meets state and federal regulations and physician documentation supports coding. This position will apply all official coding guidelines when assigning diagnostic and procedure codes for both inpatient and outpatient accounts based on health record documentation. This position will assist the HIM Manager with daily activities of the department, including release of information (ROI), scanning and validating paper documents, compiling statistics, gathering data for trauma and cancer registries, filing, transcribing, and maintenance of data dictionaries.

SCHEDULE:

Full-time; M-F, 7am-3:30pm

SSENTIAL JOB DUTIES/REQUIREMENTS:

• Ensure patient record documentation meets state and federal regulations for content, completeness, and timeliness.
• Code ED, Outpatient, and Inpatient accounts correctly to ensure coding guideline are followed for appropriate reimbursement, utilizing Alpha II coder, Code Correct, and AMA IC.S-10-CM, and HCPCS coding books.
• Accurately completes chart review to ensure accuracy and completeness for analytical, statistical, and patient care purposes.
• Call physicians and ancillary departments to get correct diagnosis to complete coding procedures.
• Physically locate and wait for physicians, nursing staff, and therapists to obtain correct diagnosis to complete coding procedures.
• Assures timely completion of chart deficiencies by promptly recording such deficiencies in the ICR desktop and by providing healthcare staff with the information they require to complete the deficiencies.
• Receiving calls from ancillary departments, physician offices, etc to get correct ICD-10 and CPT coding.
• Transcribes "STAT" dictations as a priority and other transcription as needed.
• Refer inconsistent or incorrect coding by provider to management when a trend or pattern is identified.
• Respond and process all requests for copies of medical records from other healthcare facilities, over the phone, and walk-in requests, ensuring correct requests are filled out properly.
• Responsible for establishing and maintaining healthy interpersonal relationships with all staff members.
• Recognize the important part this position plays in Performance Improvement of the ongoing delivery of patient care.
• Reacts properly and follows correct policy and procedure in an emergency and/or disaster.
• Must wear Personal Protective Equipment (PPE) as situations require maintaining Infection Control standards set by hospital.

Qualifications: POSITION QUALIFICATIONS:

• High School Diploma required plus CCS coding certification from AAPC or AHIMA, or accredited college, or a minimum of 5 years of applicable ICD diagnostic, CPT procedural, and HCPCS coding in a hospital or diverse specialty physicians office.
• RHIT certification preferred.
• Experience interpreting a variety of instructions in written, oral, diagram, or schedule form.
• Must have advanced knowledge of Medical Terminology and excellent interpersonal skills and communication skills both written and oral.
• Previous experience capturing data and analyzing quality measures, case mix index, and health record documentation compliance.
• Skilled in data analysis, research, and error-correction
• Strong organizational and teamwork skills.
• Ability to effectively present information and respond to questions concerning statistics, coding, and transcription.
• Advanced computer skills in Microsoft programs, Word, Excel, Outlook and Electronic Medical Records (EMR), Meditech or EPIC preferred. Must keyboard at 50 wpm.