Coder II

Rapid City Medical Center, LLP; Gillette (WY); Sur place; USD 55 000 - 75 000; Plein temps

Avantages offerts par ce poste

Supportive work culture

Medical, Vision and Dental Coverage

Retirement Plans, HSA and FSA

Instant pay

PTO Accrual

Opportunities for growth and tuition/ä

Tuition assistance/reimbursement

Excellent pay differentials

Flexible scheduling

Résumé du poste

Monument Health is seeking an HIM Coder II to accurately assign ICD-10, CPT, and HCPCS codes across hospital outpatient and professional services. The coder will apply medical knowledge and coding guidelines to ensure proper billing and compliance.

The role includes maintaining productivity, engaging with physicians for documentation, and resolving payor edits while utilizing encoder and grouper tools. Certification and ongoing training are encouraged to support professional growth.

Qualifications

• Proficient in ICD-10, CPT, HCPCS coding per official guidelines.
• Experience with hospital outpatient and professional coding.
• Familiar with coding guidelines, payor standards and denial resolutions.
• Knowledge of NCCI and LCD/NCD guidelines.

Responsabilités

• Review medical records to abstract data for coding.
• Code hospital and professional services with ICD-10, CPT and HCPCS codes.
• Apply coding guidelines to select correct codes for billing.
• Maintain productivity and accuracy in coding tasks.
• Query providers for missing documentation as needed.
• Address payor edits and denials and communicate with related teams.
• Use encoder and grouper software to code efficiently.
• Support coding education and training within the department.

Connaissances

ICD-10 coding

CPT coding

HCPCS coding

NCCI knowledge

Formation

High School Diploma/GED

AHIMA CCS

AAPC CPC-A

Outils

Encoder software

Grouper software

Description du poste

HIM Coder II

HIM Coder II is responsible for coding a variety of services. Those services can include hospital outpatient, surgical services, hospital and clinic professional services as well as procedures and any ancillary services. The coder will be responsible for accurately assigning ICD- 10 codes, CPT and HCPCS codes in accordance with Monument Health guidelines, Official coding guidelines and payor standards.

Monument Health offers competitive wages and benefits on qualifying positions. Some of those benefits can include:

• Supportive work culture
• Medical, Vision and Dental Coverage
• Retirement Plans, Health Savings Account, and Flexible Spending Account
• Instant pay is available for qualifying positions
• Paid Time Off Accrual Bank
• Opportunities for growth and advancement
• Tuition assistance/reimbursement
• Excellent pay differentials on qualifying positions
• Flexible scheduling

Essential Functions:

• Review and abstract information in the medical record to accurately code for that episode of care.
• Code hospital and professional services by accurately assigning ICD-10, CPT and HCPCS codes for appropriate billing.
• Apply knowledge of medical science, medical terminology, anatomy and physiology and the official coding guidelines to select the correct codes.
• Maintain an understanding and apply knowledge of National Correct Coding Initiatives (NCCI), Local and National Coverage Determinations (LCD, NCD's), Medically unlikely edits (MUE's) and Medicare guidelines.
• Participate in coding education and training.
• Provide ongoing feedback to physicians and staff regarding coding guidelines and requirements.
• Query providers for missing documentation.
• Resolve payor edits and denials and respond to other teams including, compliance, revenue integrity and billing.
• Navigate and utilize encoder, grouper software and other coding resources.
• Maintain coding productivity and accuracy standards.
• Assist with patient audits. Obtains necessary information.
• All other duties as assigned.

Additional Requirements:

Required: Education - High School Diploma/GED Equivalent in General Studies

Preferred: Experience - 1+ years of Coding Experience

Certifications - Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA); Certified Professional Coder - Apprentice (CPC-A) - American Academy of Professional Coders (AAPC)

Physical Requirements: Sedentary work - Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time.

Job Category: Revenue Cycle

Job Family: Health Information Management

Requires the ability to work assigned schedules and hours as determined by the department

Employee Type: Regular

10 Monument Health Rapid City Hospital, Inc. Make a difference. Every day.

Monument Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.