ED Coder

Jackson County Memorial Hospital Authority; Altus (OK); On-site; USD 52,000 - 68,000; Full time

Job summary

Jackson County Memorial Hospital Authority seeks a credentialed medical coder to review medical records and assign accurate diagnoses and procedures using 3M coding software. The role sequences codes per AHIMA guidelines and ensures timely, compliant coding across facility and professional settings.

Candidate should have RHIT/RHIA/CCS/CCA or AAPC credentials, medical terminology knowledge, and at least one year in an acute care facility with ICD-10-CM, PCS and CPT coding experience.

Qualifications

• Must have English reading and communication skills.
• Typing speed 30 WPM.
• Pass Coding Test with 80% score.
• One year in an acute care facility with ICD-10-CM, PCS and CPT proficiency.
• ED coding experience preferred.
• Clerical Ability Test with 80% or higher.

Responsibilities

• Review charts to identify all diagnoses and procedures.
• Code using guidelines and 3M software.
• Assign facility and professional E/M levels as applicable.
• Enter infusion, injection, and observation charges as applicable.
• Maintain timely and accurate coding to support reimbursement.
• Communicate with physicians when diagnosis is unclear.
• Ensure compliance with AHIMA guidelines and confidentiality.
• Meet productivity and quality standards (96%+).
• Monitor denials and respond to third party audits within deadlines.
• Maintain regular communication with supervisor and other departments.

Skills

Basic computer knowledge

Education

RHIT, RHIA, CCS, CCA or AAPC credential

Medical terminology

Tools

3M coding software

Job description

Description

Job Summary: Reviews medical record to assign diagnosis and procedures codes using 3M coding software. Accurately sequences codes according to departmental and AHIMA guidelines. Ensures records are coded in accurate and timely manner.

Demonstrates Competency in the Following Areas:

• Reviews charts thoroughly to ascertain all diagnosis and procedures.
• Codes are sequenced according to coding guidelines.
• Productivity standards are met.
• Utilizes computerized coding system to assign proper codes.
• Assigns facility and professional E/M levels as applicable.
• Assigns infusion and injection charges as applicable.
• Enters observation charges as applicable.
• Contacts responsible physician, in professional manner, if diagnosis is unclear.
• Meets quality standards of 96% or greater.
• Responds to denials received from third party auditors meeting deadlines on 100% of cases.
• Monitors Delinquent Bill Report to ensure timely completion for reimbursement.
• Maintains open lines of communication with supervisor on issues concerning uncoded charts on the Delinquent Bill Report.
• Responsible for maintaining appropriate number of CE hours as required by credential.
• Reviews coding periodicals within seven days of receipt to maintain working knowledge of coding changes.
• Assists in answering the telephone and taking accurate messages, as applicable.
• Communicates regularly with supervisor on problems, issues or concerns in his/her section.
• Maintains a good working relationship within the department and other departments.
• Willingly accepts additional assignments.
• Familiar with the following manuals: Administrative, Departmental, Safety, Emergency Preparedness.
• Completes annual educational requirements.
• Reports to work on time with minimal absenteeism.
• Consistently completes and maintains assigned duties.
• Maintains hospital requirements on confidentiality.
• Adheres to dress code; appearance is neat and clean.

Requirements

Education/Regulatory Requirements & Experience

• RHIT, RHIA, CCS, CCA or AAPC credential required.
• Medical terminology required.
• 3M coding software preferred.
• One-year experience in acute care facility with proficiency in ICD-10CM, PCS and CPT coding required.
• ED coding experience
• Must pass the Clerical Ability Test as given by Human Resources with an overall score of 80%.
• Typing speed of 30 WPM.
• Must pass Coding Test with an overall score of 80%.
• Previous work history that demonstrates steady attendance and punctuality is required.

Language Skills

• Ability to read and communicate effectively in English.

Skills

• Basic computer knowledge.

Physical Demands

• For physical demands of position, including vision, hearing, repetitive motion and environment, see following description. Near visual & hearing acuity required to perform essential duties of position.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position without compromising client care.