DRG/PCS IP Facility Coder

Presbyterian Healthcare Services; Albuquerque (NM); Remote; Full time

Job summary

An established industry player is seeking a skilled DRG/PCS IP Facility Coder to join their team. This role involves coding inpatient and outpatient hospital records, ensuring adherence to guidelines while maintaining accuracy and compliance. The ideal candidate will have a strong background in coding, with certifications and experience in various specialties. Join a dedicated team that values diversity and is committed to improving community health through innovative healthcare solutions. This position offers the flexibility of remote work within New Mexico, along with a comprehensive benefits package to support your well-being.

Benefits

Medical Insurance

Dental Insurance

Vision Insurance

Paid Time Off

Retirement Plan

Wellness Program

Qualifications

• Must have coding certifications at time of hire.
• 3-5 years coding experience required.

Responsibilities

• Code inpatient and outpatient hospital records accurately.
• Review medical records and assign appropriate codes for reimbursement.
• Resolve pre-bill edits and denials for assigned accounts.

Skills

Coding Expertise

Knowledge of ICD-9/10 CM

Knowledge of CPT-4

Inpatient Coding Experience

Education

High School Diploma/GED

Coding Certifications (CCS, CCS-P, CPC-H, RHIT/RHIA)

Tools

Medical Coding Software

Job description

Overview

Now hiring a DRG/PCS IP Facility Coder.

Has the knowledge and ability and will be required to code all of the following: inpatient and/or outpatient hospital records, ED records, Home Health & Hospice records and/or professional fee services for PMG specialty providers or demonstrate coding expertise in a specific specialty deemed a critical business need by PHS Coding Leadership using the ICD-9/10 CM and CPT-4 classification system. Ensures adherence to Hospital and Departmental Policies and Procedures.

How you belong matters here.

We value our employees' differences and find strength in the diversity of our team and community.

At Presbyterian, it's not just what we do that matters. It's how we do it - and it starts with our incredible team. From Information Technology to Food Services and beyond, our non-clinical employees make a meaningful impact on the healthcare provided to our patients and members.

Why Join Us

• Full Time - Exempt: No
• Remote work from home: This job is intended to be conducted in the State of New Mexico.
• Work hours: Varied Days and Hours.
• Benefits: We offer a wide range of benefits including medical, wellness program, vision, dental, paid time off, retirement and more for FT employees.

Ideal Candidate

Must have any one of the following coding certifications at time of hire: CCS, CCS-P, CPC-H, or RHIT/RHIA. Inpatient Coding experience.

Qualifications

• High school diploma/GED required.
• Must have any one of the following coding certifications at time of hire: CCS, CCS-P, CPC-H, or RHIT/RHIA with achievement of one of the coding credentials above within one year of hire.
• Three to five years experience as a coder required.

Responsibilities

• Must demonstrate knowledge of coding multiple areas of service and/or specialties or extensive experience in a specific specialty deemed a critical business need by PHS Coding Leadership.
• Reviews patients entire current medical record, assigning appropriate codes including CPT, ICD and MS-DRG (as defined by UHDDS guidelines and CMS) to be used for financial reimbursement, research in accordance with Federal Regulations and Hospital and Departmental policies.
• Accesses several systems via the computer to research the medical record when needed to complete the coding in a timely manner.
• Takes responsibility for accounts receivable by looking for lost documents to insure all encounters are coded, including the generation of appropriate queries, as needed.
• Maintains and disseminates up-to-date technical knowledge of legal and regulatory information from all appropriate jurisdictions concerning the given business area. This includes but is not limited to all ICD-9/10 CM, CPT-4, HCPCS, and DRG, APC and/or HHRG updates and changes.
• Responsible for resolving any and all pre-bill edits, denials, etc. for assigned accounts.
• Participates in all departmental in-services and updates to stay current with the accepted coding guidelines and improve personal knowledge of medicine and treatment.
• Performs other functions as required.

Benefits

All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits.

Wellness: Presbyterian's Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being. Earn gift cards and more by taking an active role in our personal well-being by participating in wellness activities like wellness challenges, webinars, preventive screening and more.

Why work at Presbyterian? As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans.

About Presbyterian Healthcare Services

Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1600 providers and nearly 4,700 nurses.

Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.

AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.

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Maximum Offer for this position is up to

USD $34.27/Hr.

Compensation Disclaimer

The compensation range for this role takes into account a wide range of factors, including but not limited to experience and training, internal equity, and other business and organizational needs.