HIM Coder

DaMar Staffing; Champaign (IL); On-site; USD 32,000 - 54,000; Full time

Benefits offered by this job

Benefits package

Job summary

Carle Health seeks an HIM Certified Coder to accurately code hospital inpatient, hospital outpatient and professional fee encounters using ICD-10/ICD-PCS, CPT, or HCPCS codes with appropriate modifiers. You will review records in Carle EMR systems and apply regulatory guidelines to ensure compliant billing across encounters.

The role requires RHIT/RHIA or CPC/COC/CIC/CCS-P/CCS certifications and a strong understanding of CMS and local coverage determinations.

Qualifications

• AHIMA credentials required or preferred.
• CPC/COC/CIC/CCS-P/CCS are relevant coding certifications.
• RHIT/RHIA are AHIMA HIM credentials.

Responsibilities

• Code hospital inpatient, hospital outpatient and professional encounters using ICD10/ICD-PCS, CPT, HCPCS and modifiers.
• Ensure codes reflect diagnoses and procedures accurately for compliant billing.
• Review documentation to resolve coding edits and ensure timely submission.
• Comply with CMS, NCD/LCD guidelines and coding clinics as references.
• Assist with audits, monitoring and charge capture processes.
• Maintain coding certifications and participate in external audit activities.

Education

RHIT

RHIA

CPC

COC

CIC

CCS-P

CCS

Job description

HIM Certified CoderThe 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 as a means to ensure compliant billing of Carle claims. 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. HIM coder is also responsible for understanding and applying coding knowledge to resolve billing edits related to coding. HIM coder uses Carle electronic medical record systems to review clinical encounters.

Qualifications:

• Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA)
• Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA)
• 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)

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 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.