Health Information Management Coder Senior-Medical Coding

Christus Health; Irving (TX); Remote; USD 50,000 - 80,000; Full time

Job summary

This innovative firm is seeking a dedicated Inpatient Coder to ensure high-quality ICD-10-CM/PCS coding for all inpatient diagnoses and procedures. The role involves reviewing clinical documentation, abstracting data into electronic medical records, and collaborating with health information management specialists to enhance billing accuracy and reduce denials. With a focus on achieving a coding accuracy rate of 95% or better, the position offers the opportunity to work independently in a remote setting. If you are passionate about coding and have a keen eye for detail, this is the perfect opportunity for you.

Qualifications

• 3-5 years of inpatient coding experience in an acute care setting preferred.
• Completion of an AHIMA-approved Coding Certificate Program is preferred.

Responsibilities

• Assign codes for diagnoses and procedures according to ICD-10-CM/PCS Guidelines.
• Collaborate with HIM and Clinical Documentation Specialists to ensure accuracy.
• Achieve or exceed a 95% accuracy rate in coding.

Skills

ICD-10-CM/PCS Coding

Data Abstraction

Clinical Documentation Review

Communication Skills

Attention to Detail

Education

High School Diploma

Baccalaureate in Health Informatics

AHIMA Coding Certificate

Tools

Epic

Meditech

3M/360

Microsoft Office

Teams

Outlook

OneNote

Job description

Description

Summary:

Responsible for maintaining current and high-quality ICD-10-CM/PCS coding for all Inpatient diagnoses and procedural occurrences, through the review of clinical documentation and diagnostic results, with a consistent coding accuracy rate of 95% or better. Coder will accurately abstract data into CHRISTUS Health electronic medical record systems, verifying accurate patient dispositions and physician data, following the Official ICD-10-CM and ICD-10-PCS Guidelines for Coding and Reporting. Inpatient coding applies to all regional Inpatient encounters.

Coder will work collaboratively with CHRISTUS Health HIM and Clinical Documentation Specialists to ensure accurate physician documentation supporting billing and reducing denials. Coder may assist in other department areas as requested by leadership. The role reports directly to the Regional Coding Manager, with additional leadership from the Director of Coding Operations and System HIM Director.

Responsibilities:

• Meet expectations of applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
• Assign codes for diagnoses, treatments, and procedures according to ICD-10-CM/PCS Guidelines, reviewing documentation to generate appropriate MS/APR DRG.
• Extract and abstract necessary information from source documentation into CHRISTUS Health electronic medical records.
• Validate admit orders and discharge dispositions.
• Work from assigned coding queue, completing and re-assigning accounts correctly.
• Manage accounts on ABS Hold or through Epic WQs, finalizing accounts after corrections promptly.
• Achieve or exceed 95% accuracy rate.
• Meet or exceed CHRISTUS Health Productivity standards per chart type.
• Adhere to the Standards of Ethical Coding set by AHIMA.
• Assist in implementing solutions to reduce backend errors.
• Identify and report hospital-acquired conditions (HAC).
• Query providers for missing or unclear documentation, collaborating with HIM and Clinical Documentation Improvement Specialists.
• Participate in internal and external audit discussions.
• Demonstrate strong written and verbal communication skills.
• Proficient in using multiple technologies and comfortable with virtual applications and EMR systems like Epic, Meditech, 3M/360, OneContent, Microsoft Office, Teams, Outlook, OneNote, etc.
• Work independently in a remote setting with minimal supervision.
• Perform other duties as assigned by the Manager.

Job Requirements:

Education/Skills

• High school diploma or equivalent experience required.
• Completion of Accredited Baccalaureate Health Informatics or Health Information Management program, or an AHIMA-approved Coding Certificate Program, preferred.

Experience

• 3-5 years of inpatient coding experience in an acute care setting preferred.

Licenses, Registrations, or Certifications

At least one of the following certifications is required:

• RHIA (AHIMA)
• RHIT (AHIMA)
• CCS (AHIMA)
• CCA (AHIMA)

Work Schedule:

8AM - 5PM Monday-Friday

Work Type:

Full Time

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