Coder II-Health Information

DaMar Staffing; Norfolk (NE); On-site; USD 52,000 - 76,000; Full time

Job summary

Faith Health seeks a Health Information coder to abstract and code patient records using ICD-10 and CPT nomenclatures. The role requires maintaining coding accuracy and proper sequencing for optimal reimbursement, with regular review of medical records for completeness and data abstraction.

Responsibilities include documenting coding issues to the HIM Director, following coding guidelines, and ensuring thorough medical record documentation.

Qualifications

• English language skills required (read, write, speak, understand).
• Higher complexity coding experience preferred.
• Combination of 1-2 years of education and experience in coding fields.

Responsibilities

• Assigns diagnoses and procedure codes to patient records.
• Maintain at least 97% accuracy in coding.
• Ensure proper sequencing of codes for optimum reimbursement.
• Review records for completeness and data abstraction (diseases, operations, procedures, therapies).
• Document coding issues to HIM Director after evaluation.
• Follow established coding guidelines and ethics policies.
• Ensure thorough documentation to substantiate code assignments with physician communication.
• Input codes accurately into the billing system.
• Monitor reports for timely coding and necessary follow-up.
• Engage in professional growth through in-service meetings, trainings, conferences, and relevant publications.
• Respond to questions from other departments or physicians regarding coding issues.

Skills

English language proficiency

Attention to detail

Education

Associate Degree preferred

Job description

Work Status Details:

Full Time | 80.00 Hours Every Two Weeks

Exempt from Overtime:

Non-Exempt

Shift Details:

8-4:30 M-F

Department:

Health Information

Reports To:

Manager-Health Information

The mission of Faith Health

to serve Christ by providing all people with exemplary medical services in an environment of love and care.

Summary:

To abstract and code patient records utilizing ICD-10 and CPT coding nomenclatures.

The listing of job duties contained in this job description is not all inclusive. Duties may be added or subtracted at any time due to the needs of the organization.

Responsibilities:

• 1. Assigns diagnoses and procedure codes to all patient records.
• 2. Maintains at least a 97% accuracy standard.
• 3. Ensures sequencing of codes is completed according to established guidelines for optimum reimbursement.
• 4. Reviews medical records for completeness and to abstract clinical data such as diseases, operations, procedures and therapies.
• 5. Reports coding problems to the HIM Director after evaluation and/or coding.
• 6. Consistently follows established coding guidelines and coding ethics policies.
• 7. Ensures thorough documentation is present in the medical record to substantiate code assignment by corresponding regularly with physicians.
• 8. Accurately inputs assigned codes on the computer system for billing and statistical purposes.
• 9. Monitors reports for timely coding or charts providing appropriate follow-up as needed.
• 10. Enhances professional growth and development by:
  • Attending in-service meetings
  • Participating in educational programs
  • Attending appropriate conferences
  • Reading pertinent publications
• 11. Consistently responds knowledgeable to requests from other departments or physicians regarding coding issues to assist in providing the best possible outcome.
• 12. Maintains current professional credentials. Credentials must be maintained and level of complexity as defined by organization must be met consistently to qualify as Level II Coder.

Hours will be dependent on patient census and workload. Ability and willingness to work a flexible schedule, to include after-hours and weekends as necessary.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Job Requirements:

The requirements listed below must be representative of the knowledge, skills, minimum education, training, licensure, experience, and/or ability required.

EDUCATION:

Associate Degree preferred.

Previous Experience Requirements:

EXPERIENCE:

Higher complexity level of coding experience required.

Combination of 1-2 years of education and experience in position field required.

Skills/Knowledge Requirements:

SKILLS:

Language Skills - ability to read, write, speak, and understand the English language required.

KNOWLEDGE:

Knowledge of ICD-10-CM and CPT coding required.

Other Certifications/Requirements:

Current RHIA, RHIT, CCS, CPC, LPN, or RN license/certification required.

Faith Health is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.