Coder II

Memorial Physician Practices; Somerset (KY); Remote; USD 50,000 - 70,000; Full time

Job summary

A healthcare provider in Somerset is seeking a Coder II to assign diagnosis and procedure codes accurately for patient care records. The ideal candidate has a CPC Coding Certification and at least five years of coding experience in an acute care hospital setting. This remote position offers competitive benefits and opportunities for professional development.

Benefits

Health (Medical, Dental, Vision) Benefits

401K Benefits

Tuition Reimbursement/Assistance

Professional Development Opportunities

Qualifications

• Minimum of five years coding experience in an acute care hospital setting, preferred.
• Candidate must possess excellent organizational skills and computer skills.
• Candidate must be adept in utilizing computer programs and Internet.

Responsibilities

• Assign diagnosis and procedure codes accurately.
• Maintain coding accuracy above 95%.
• Work with physicians for documentation clarification.
• Complete all assigned compliance courses in time.

Skills

Organizational skills

Computer skills

Self-motivated

Education

Associate degree in health-related field

CPC Coding Certification

Job description

Lake Cumberland Regional Hospital

People are our passion and purpose. Come work where you are appreciated for who you are not just what you can do. Lake Cumberland Regional Hospital is a modern, state-of-the-art 295-bed acute care facility, offering an advanced neurosurgery program with Spine Center accreditation amongst other specialty services.

The City of Somerset blends southern hospitality with abundant recreational opportunities including a 65,000-acre lake with 1,200 miles of shoreline. Somerset is host to nationally recognized, high quality performing and visual arts, concerts and other special events to the community.

Why Choose Us:

• Health (Medical, Dental, Vision) and 401K Benefits for full-time employees
• Competitive Paid Time Off / Extended Illness Bank package for full-time employees
• Employee Assistance Program - mental, physical, and financial wellness assistance
• Tuition Reimbursement/Assistance for qualified applicants
• Professional Development and Growth Opportunities
• And much more

Position Summary:

Coder II assigns diagnosis and procedure codes using the appropriate coding classification system to reflect the care and services rendered to the patients in the emergency department, ancillary, and outpatient surgery settings. Ensure the accurate selection of the principal diagnosis and procedure and all other significant diagnoses and procedures. Abstract hospital-defined data from records for data collection purposes. Ensure compliance with official guidelines, AHA Coding Clinic, AMA CPT Assistant and Guidelines, AHIMA Standards of Ethical Coding and LifePoint Health Support Center (HSC) policies and procedures.

Reports to: Senior Director, Coding and CDI Operations

FLSA Status: Non-Exempt

Essential Functions

To perform this job, an individual must perform each essential function satisfactorily with or without a reasonable accommodation.

• Inpatient coders will assign ICD-10-CM and ICD-10-PCS codes correctly with a coding error rate of less than 5% in accordance with established guidelines for reimbursement and statistical data.
• Outpatient coders will assign ICD-10-CM, CPT and HCPCS codes correctly with a coding error rate of less than 5% in accordance with established guidelines for reimbursement and statistical data.
• Maintain quarterly minimum 95% coding accuracy.
• Follows department workflow for service type to include addressing compliance reviews. Contacts physicians and/or ancillary departments when additional information is needed to accurately code the record.
• Prioritizes coding functions to assure records are coded within facility defined number of days from discharge. Collaborates with the team to maintain and exceed DNFC goals while maintaining good employee relations.
• Meets coding productivity standards on a consistent basis as indicated by HSC standards.
• Submits physician queries when clarification of documentation is needed.
• Refers coding questions to coding auditors, coding managers and/or coding leads. For those cases where the diagnosis is obscure, determines the most appropriate diagnosis after a thorough review of the medical record and queries the physician.
• Decreases pending accounts with timely follow up. Daily review and response to Business Office holds.
• Accurately enters code hold reasons into abstracting system.
• Identifies any patient type admission order discrepancy or discharge status discrepancy and works with case managers and admitting to code the account with the correct status.
• Uses independent discretion/decision making while effectively working alone.
• Attends educational webinars, conference calls, other coding seminars, and participates in all formal and informal coding discussions. Complete all assigned compliance courses within assigned period of time.
• Maintain at least twenty (20) continuing education hours annually and maintain required credentials.
• Conforms to AHIMA's Code of Ethics and Standards of Ethical Coding, LifePoint Attendance Policy and ensures patient/employee privacy and dignity by maintaining confidentiality with no infractions.
• Inpatient coders must be familiar with Diagnosis Related Groups (DRGs), the Inpatient Prospective Payment System (IPPS), and other medical necessity/compliance guidelines for billing and coding.
• Outpatient coders must be familiar with Ambulatory Payment Groups (APGs), Outpatient Prospective Payment System (OPPS), National Correct Coding Initiative guidelines, Local and National Coverage Decisions, and other medical necessity/compliance guidelines for billing and coding.
• Other related job tasks or responsibilities as assigned.

Minimum Work Experience:

Minimum of five years coding experience in an acute care hospital setting, preferred

Required Skills:

• Candidate must possess excellent organizational skills and computer skills
• Candidate must be adept in utilizing computer programs and Internet
• Candidate must be self-motivated and possess the ability to work independently

Education:

Associate degree in health-related field, preferred

CPC Coding Certification, required (Certified Professional Coder)

Work Environment and Travel Requirements:

• Work environment characteristics described here are representative of those that an employee may encounter while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job responsibilities. Position is remote based. Travel - none expected.

EEOC Statement

Lake Cumberland Regional Hospital is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status or any other basis protected by applicable federal, state or local law.