Coder Sr

spectrumhealth; Caledonia (MI); On-site; USD 70,000 - 100,000; Full time

Benefits offered by this job

Comprehensive benefits package

On-demand pay program (Payactiv)

Discounts directory on lifestyle deals

Identity theft protection (optional)

Job summary

Corewell Health seeks an experienced hospital coder to ensure accurate ICD-10-CM/PCS and CPT coding for inpatient and outpatient services. The role involves abstracting data from the Epic EMR and using 3M encoder tools while upholding quality and productivity standards.

You will collaborate with leadership and clinical teams to ensure DRG/APR-DRG accuracy, provide coding guidance to staff, and participate in process improvements. A strong background in HIM and AHIMA credentials is preferred.

Qualifications

• 2 years of relevant coding experience.
• Credentials: CCS, RHIT or RHIA eligibility per AHIMA.
• AHIMA credentials must be obtained within 180 days of hire or upon hire.

Responsibilities

• Review inpatient records to assign ICD-10-CM/PCS codes according to guidelines.
• Review outpatient service lines and assign ICD-10-CM/CPT codes with modifiers.
• Abstract data from Epic EMR while maintaining quality and productivity standards.
• Collaborate with leadership and clinical teams to ensure DRG/APR-DRG accuracy.
• Provide education on coding guidelines to clinical and non-clinical staff.
• Participate in process improvements and attend staff meetings.

Skills

ICD-10-CM / ICD-10-PCS coding

CPT coding

EMR systems

Education

Associate's Degree Health information technology/management

High School Diploma or equivalent

Bachelor's Degree Health information technology/management

Tools

3M Coding Software

Epic EMR

Encoder software

Job description

Job Summary

• The inpatient senior coder will thoroughly review inpatient record accounts to assign correct ICD-10-CM diagnosis codes and ICD-10-PCS procedure codes per industry coding guidelines, utilizing the 3M computer assisted coding software application. Abstracts coded data from the Epic electronic medical record according to the established standard of work, while maintaining established quality accuracy and productivity standards. Works collaboratively with leadership, financial and clinical teams to ensure Diagnostic Related Groups (DRG) or All Patient Refined Diagnostic Related Groups (APR-DRG) accuracy.
• The outpatient senior coder will review multiple service lines of outpatient services (ambulatory surgery, observation, interventional radiology/cardiology, emergency) record accounts to assign correct ICD-10-CM diagnosis codes, CPT procedure codes, add modifiers, review claim edits, etc. per the industry coding guidelines, utilizing the 3M computer assisted coding software application. Abstract coded data from the Epic electronic medical record according to the established standards of work, while maintaining the established quality accuracy and productivity standards.

Essential Functions

• Consistently Meets Monthly Productivity Standard: ≥100%
• Consistently Meets Biannual Quality Standard: ≥95%
• Use of an electronic medical record and encoder in a remote work environment.
• Codes outpatient or inpatient records according to coding guidelines and conventions. Assigns diagnoses and procedures for billing process, data retrieval and research purposes, using numerical codes of ICD-9-CM/ICD-10-CM/PCS and CPT-4 coding.
• Provides education and training regarding coding guidelines of specialty area to clinical and non-clinical staff.
• Communicates, collaborates and acts as a team player with others in order to ensure continuity of services.
• Optimize codes for reporting and generates APCs for all outpatient records. Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines.
• Participate in process improvement activities including but not limited to assuring accounts that cannot be coded are held for valid reasons.
• Must attend all staff meetings required by management.

Qualifications

Required

• High School Diploma or equivalent
• Associate's Degree Health information technology/management
• 2 years of relevant experience Coding
• CRT-Coding Specialist (CCS) - AHIMA American Health Information Management Association Upon Hire Or
• CRT-Registered Health Information Technician (RHIT) - AHIMA American Health Information Management Association 180 Days Or
• CRT-Registered Health Information Administrator (RHIA) - AHIMA American Health Information Management Association 180 Days

Preferred

• Bachelor's Degree Health information technology/management
• ICD-10-CM, ICD-10-CPS, CPT coding experience

About Corewell Health

As a team member at Corewell Health, you will play an essential role in delivering personalized health care to our patients, members and our communities. We are committed to cultivating and investing in YOU. Our top-notch teams are comprised of collaborators, leaders and innovators that continue to build on one shared mission statement - to improve health, instill humanity and inspire hope. Join a nationally recognized health system with an ambitious vision of continued advancement and excellence.

#CorewellHealthCareers

How Corewell Health cares for you

• Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here .
• On-demand pay program powered by Payactiv
• Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
• Optional identity theft protection, home and auto insurance
• Traditional and Roth retirement options with service contribution and match savings
• Eligibility for benefits is determined by employment type and status

Primary Location

SITE - 4700 60th St SE - Grand Rapids

Department Name: Hospital Coding Inpatient - Corporate

Employment Type: Full time

Shift: Day (United States of America)

Weekly Scheduled Hours: 40

Hours of Work: 7:00 a.m. to 3:30 p.m.

Days Worked: Monday to Friday

Weekend Frequency: N/A

Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disabil