Coder - Inpatient

Highmark Health; Sacramento (CA); On-site; USD 33,000 - 51,000; Full time

Job summary

Allegheny Health Network is seeking a Medical Records Coder to perform thorough medical record review, abstract data elements, and assign ICD codes for diagnoses and procedures to support accurate billing and reporting.

This role requires HIPAA literacy, attention to detail, and the ability to collaborate with clinicians and the billing team. Minimum qualifications include High School/GED, 1 year of hospital coding, and CCS or CIC certification preferred.

Qualifications

• High School / GED is required.
• 1 year in Hospital coding is required.
• Completed coding courses in anatomy, physiology and medical terminology.
• CCS or CIC certification is required or preferred.
• Familiarity with medical terminology.
• Strong data entry skills.
• Understanding of computer applications.
• Ability to work with health care team.

Responsibilities

• Reviews and interprets medical information to determine ICD codes for diagnoses and procedures. (65%)
• Abstracts data elements to satisfy statistical requests and enters coded information into designated system. (15%)
• Manages unbilled coding report and cash flow efficiently. (10%)
• Keeps informed of ICD guideline changes and applies updates in daily work. (5%)
• Performs other duties as assigned. (5%)

Skills

ICD coding knowledge

Data entry

Medical terminology

Attention to detail

Team collaboration

Education

High School / GED

Associate's degree in Health Information Management or Related Field

Job description

Company

Allegheny Health Network

Job Description

GENERAL OVERVIEW

This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days.

ESSENTIAL RESPONSIBILITIES

• Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD codes for diagnoses and procedures. (65%)
• Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%)
• Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%)
• Keeps informed of the changes/updates in ICD guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates in daily work. (5%)
• Performs other duties as assigned or required. (5%)

QUALIFICATIONS

Minimum

• High School / GED
• 1 year in Hospital coding
• Successful completion of coding courses in anatomy, physiology and medical terminology
• Certified Coding Specialist (CCS) OR Certified In-patient Professional Coder (CIC)
• Familiarity with medical terminology
• Strong data entry skills
• An understanding of computer applications
• Ability to work with members of the health care team

Preferred

• Associate's degree in Health Information Management or Related Field

Disclaimer

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement

Compliance Requirement : This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.

Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Pay Range

Pay Range Minimum: $23.73

Pay Range Maximum: $37.14

Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.