Coder lll - FT Days -Coding

DaMar Staffing; McAllen (TX); On-site; USD 65,000 - 90,000; Full time

Job summary

DHR Health in McAllen, TX seeks an Inpatient Coder to review medical records for accurate ICD-10-CM/PCS, CPT, and HCPCS coding. You will finalize coding, support CDS and staff, and ensure DRG accuracy and proper reimbursement.

The ideal candidate has hospital coding experience, knowledge of HIPAA, and is familiar with 3M coding references. This is a full-time day shift position with adherence to AHIMA standards.

Qualifications

• Experience in medical coding (MS/APR DRG's, ICD-10-CM, CPT, HCPCS)
• Extensive knowledge of medical terminology, anatomy and physiology, and pharmacology
• Understanding of HIPAA laws and ethics in health insurance and medical billing
• Ability to reason and exercise independent judgment
• Strong communication and organizational skills
• CE hours must be completed annually as per certification requirements
• Professional coding and billing experience is a plus
• Familiarity with 3M coding references and 3M coding software is preferred

Responsibilities

• Accurately codes all inpatient diagnoses and procedures per ICD-10-CM/PCS, CPT, and HCPCS conventions.
• Ensure 95% chart accuracy and maintain coding quality standards.
• Assist CDS and medical staff to improve clinical documentation.
• Sequence diagnoses and procedures per official guidelines.
• Abstract and compile data for optimal hospital/professional reimbursement.
• Resolve inpatient billing edits and adhere to AHIMA ethical coding standards.
• Query physicians for clarification when information is ambiguous or incomplete.
• Maintain confidentiality and comply with HIPAA and health information policies.
• Mentor junior staff and participate in peer review and internal audits.

Skills

Reasoning ability

Independent judgment

Critical thinking

Interpersonal skills

Multi-tasking

Communication skills

Organizational skills

HIPAA knowledge

Education

RHIA RHIT CCS CIC

Tools

3M CRS software

Job description

Coder Lll - FT Days - CodingDHR Health - US:TX:McAllen - DaysSummary:POSITION SUMMARY:The Inpatient coder reviews and analyzes documentation in the medical record for inpatient visits to ensure accuracy of diagnosis and procedure codes. Coder finalizes the coding and abstracting of the medical record according to ICD-10-CM/PCS, CPT, and HCPCS coding conventions and guidelines supported by the clinical documentation in the medical record. Coder analyzes diagnosis and procedure codes concurrently assigned by Clinical Documentation Specialists. The Inpatient Coder assumes primary responsibility for DRG validation/accuracy, primary role in assisting CDS and medical staff members with improving quality of clinical documentation. Sequence the diagnoses and procedures using official coding guidelines. Abstract and compile data from medical records for appropriate optimal reimbursement for hospital and/or professional charges. Resolve Inpatient billing edits. Abide by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA).

POSITION EDUCATION/QUALIFICATIONS:

• RHIA, RHIT, CCS or CIC required.

JOB KNOWLEDGE/EXPERIENCE:

• Experience and/or advanced training in medical coding (MS/APR DRG's, ICD-10-CM, CPT, HCPCS, etc.)
• Must have extensive knowledge of medical terminology, anatomy and physiology, knowledge of pharmacology and all major diseases
• Requires reasoning ability and good independent judgment.
• Critical thinking skills are a must.
• Must have strong interpersonal skills and the ability to multi-task
• 3M CRS software experienced preferred
• Requires good communication and organizational skills
• Must have an understanding of laws and ethics related to health insurance, medical billing and the Health Insurance Portability and Accountability Act (HIPAA)
• Requires working with minimal to moderate interruptions.
• Must complete CE hours annually, according to certification requirements
• Professional coding and billing experience a plus

Responsibilities:POSITION RESPONSIBILITES:

• Promotes the facility mission, vision and values by effectively communicating them to others.
• Considers mission, vision and values in developing services, standards and practices
• Accurately codes all inpatient diagnoses and procedures according to ICD-10-CM/PCS, CPT and HCPCS coding conventions and guidelines.
• Follows the AHIMA Standards of Ethical Coding to adhere to Coding Compliance guidelines.
• References ICD-10-CM/PCS, CPT, and HCPCS Level II code books as needed.
• Accurately attach HCPCS level I and level II modifiers when appropriate
• Utilizes 3M Coding references daily for final coding
• Utilizes computerized 3M Coding Software.
• Meets quality standards of having 95% of charts coded accurately.
• Maintains a good working relationship within the department, other departments and medical staff
• Codes all available records in a timely manner.
• Queries physicians for clarification when ambiguous or incomplete information is present.
• Communicates with Coding Manager to solve problems and to clarify coding issues.
• Attends workshops, seminars or conferences that pertain to position and that fulfill CE hour requirements
• Reviews Coding Clinic updates and continuing education periodicals in a timely manner
• Maintain ongoing education to stay abreast of updates in coding conventions and practices
• Assists the business office with clearing reimbursement and denial issues
• Clears Aeos in a timely manner
• Notify HIM staff of incomplete or un-scanned records through the tickler system
• Adheres to the Health Information Management Policies and Procedures for coding.
• Adheres to the Coding Compliance Plan.
• In case of any inaccuracies or discrepancies in the medical record, then it is his or her responsibility to report the matter to the appropriate department so that the necessary corrections can be made
• Maintains confidentiality and safeguards all patient related information
• Ability to train and mentor junior staff members
• Performs Peer review and internal audits
• Performs other duties as assigned