HIM Cert Coder IP - 5 K Sign on Bonus

Carle Health; Champaign (IL); On-site; USD 32,483 - 54,249; Full time

Benefits offered by this job

Comprehensive benefits package

Job summary

Carle Health in Champaign, Illinois, is seeking a HIM Certified Coder responsible for accurate and timely coding of hospital encounters. The ideal candidate will possess certifications and a strong knowledge of coding rules.

The role requires expertise in CPT, HCPCS, and ICD-10 coding with a focus on compliance. This position offers a compensation range of $23.58 - $39.38 per hour and benefits.

Qualifications

• Certifications: CPC, COC, CIC, CCS-P, CCS, RHIT, RHIA.
• Knowledge of medical science, anatomy, and physiology.
• Experience with coding software preferred.

Responsibilities

• Accurately code all records according to coding classifications.
• Provide interdepartmental coding assistance as needed.
• Facilitate optimization of revenue while maintaining compliance standards.

Skills

Knowledge of ICD-10-CM

Ability to perform computer data entry

Strong communication skills (oral and written)

Education

High School Diploma or G.E.D.

Tools

Coding software (encoders)

Job description

Overview

The HIM Certified Coder is responsible for accurate and timely coding of hospital inpatient, hospital outpatient and/or professional fee encounters using appropriate ICD10/ICDPCS, CPT, or HCPCs codes and appropriate coding software such as computer assisted coding and encoders as a means to ensure compliant billing of Carle claims. For Carle, HIM Certified Coder is responsible for understanding and applying all regulatory coding guidelines, such as National and Local Coverage Determinations and application of CPT modifiers. This role also includes resolving billing edits related to coding and reviewing clinical encounters using Carle electronic medical record systems.

Qualifications

• Certifications: Certified Professional Coder (CPC) – American Academy of Professional Coders (AAPC); Certified Outpatient Coder (COC) – American Academy of Professional Coders (AAPC); Certified Inpatient Coder (CIC) – American Academy of Professional Coders (AAPC); Certified Coding Specialist – Physician-Based (CCS-P) – American Health Information Management Association (AHIMA); Certified Coding Specialist (CCS) – American Health Information Management Association (AHIMA); Registered Health Information Technician (RHIT) – American Health Information Management Association (AHIMA); Registered Health Information Administrator (RHIA) – American Health Information Management Association (AHIMA).
• Education: High School Diploma or G.E.D.
• Knowledge of ICD-10-CM, CPT, and HCPC coding rules and guidelines for code application, ability to work with others collaboratively and communicate efficiently, both orally and in writing. Knowledge of medical science, anatomy and physiology. Ability to perform computer data entry. Experience with encoders or other coding software packages preferred.

Responsibilities

Responsible for accurately coding all records according to the appropriate coding classification (ICD-10 and/or CPT and/or HCPCs and modifiers) system. The assignment of codes will accurately reflect the diagnoses and procedures pertinent to the patient. Provides interdepartmental coding assistance, as needed, to determine accurate coding assignment. Develops methodology to provide a coding process that is compliant with regulatory agencies including the utilization of reference materials such as, but not limited to, Center for Medicare Services (CMS) publications, Coding Clinic, CPT Assistant, etc. Facilitates optimization of revenue while maintaining compliance standards for the organization through varied venues and tasks (auditing/monitoring, training, facilitation of charges through the claim scrubber system, assisting with various patient or payor related charge/account inquiries, research on various coding/billing related topics as requested by various sources internal and external to the organization, etc.). Serves as an expert resource regarding CPT, HCPCS, ICD-10-CM, all other necessary coding systems, and regulatory guidelines for all internal and external parties. Serve as liaison for coding and billing staff to ensure accurate charge capture. Reports any documentation and coding improvement needs based upon review findings. Responsible for maintaining coding certification, knowledge and skills to successfully perform job duties. Performs provider and peer coding audits as requested. Assist with monitoring of internal controls for coding and billing. Facilitates external audit activities and reporting of such activities to the appropriate administrative personnel.

Compensation and Benefits

The compensation range for this position is $23.58 per hour - $39.38 per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered to a candidate will be dependent on a variety of factors including, but not limited to, the candidate’s experience, qualifications, location, training, licenses, shifts worked and compensation model. Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org/benefits.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. For more information: [e-mail].