HIM Coder 3, Outpatient - Remote

Tampa General Hospital; Florida; Remote; USD 75,000 - 105,000; Full time

Job summary

Tampa General Hospital is seeking a Coder 2 to join its Coding Department. Under supervision, you will review medical records, assign ICD-9/ICD-10 codes, and use encoder systems to determine MS-DRG/APC groupers.

You will abstract data into billing systems and ensure accuracy before finalizing encounters. Ideal candidates have a CCS credential, strong anatomy knowledge, and at least two years of acute care coding experience.

Qualifications

• Hold AHIMA CCS certification as proof of coding expertise.
• Advanced knowledge of ICD-9/ICD-10 coding sequence and guidelines.
• Strong anatomy, physiology and pathophysiology knowledge for accurate coding.
• Experience with computerized encoding and abstracting software.
• Excellent written and verbal communication skills.
• Minimum two years of acute care coding experience, ideally in Trauma 1 or large hospital.

Responsibilities

• Perform thorough review of medical records to assign diagnosis and procedure codes.
• Use encoder system to sequence codes and calculate MS-DRG/APC groupers.
• Abstract patient information into billing systems ensuring data integrity.
• Query clinicians with CDI team for documentation clarifications as needed.
• Adhere to Medicare/Managed Care coding regulations and CPT/ICD guidelines.
• Maintain quality and productivity standards under supervision and guide junior staff.

Skills

CCS certification

ICD-10-CM/PCS knowledge

Anatomy & physiology

Coding guidelines (AHIMA)

Encoder software

Communication skills

Independent work

Two+ years acute care coding

Tools

Encoding/abstracting software

Job description

Job Summary

Under the general supervision of Manager and direct supervision of Supervisor, following established policies, procedures and professional guidelines, the Coder 2 will:

• Perform a thorough review of medical record documentation to accurately assign diagnosis and procedure codes.
• Utilize the encoder system to sequence the codes assigned and calculate the corresponding MS-DRG / APR DRG / APC grouper.
• Abstract patient information into the computerized medical record and billing systems, ensuring the accuracy and integrity of the medical record data abstracted and encounter information prior to finalizing the encounter.
• Collaborate with the Clinical Documentation Improvement Team, Coding Team Coordinators and / or Supervisor to query for clarification of ambiguous documentation or, patient diagnostic and procedural information in the medical record.
• Be knowledgeable in the requirements of the industry with regard to Medicare and / or Managed care regulations, the International Classification of Diseases (ICD-9 and ICD-10-CM / PCS) and the Current Procedural Terminology (CPT) coding systems.
• Maintain quality and productivity standards established for the department and work under close supervision of the coding team to learn routine coding functions pertaining to low to medium complexity medical records.
• The Coder 2 may provide guidance and assistance to Coder I staff, Apprentices and clinical practice students orienting to the department.
• The Coder 2 is responsible for performing job duties in accordance with the mission, vision, and values of Tampa General Hospital.

Qualifications

• Possession of a national certification in health information management coding from the American Health Information Management Association (AHIMA), as a Certified Coding Specialist (CCS).
• Advanced-level knowledge of guidelines for the sequencing of diagnosis and procedure codes for appropriate classification systems.
• Advanced-level knowledge of anatomy, physiology, pathophysiology, pharmacology and medical terminology to accurately translate medical record documentation into the appropriate classification system for reporting purposes.
• Experience in computerized encoding and abstracting software.
• Excellent professional verbal and written communication skills.
• At least two years of coding experience in an acute care setting, preferably a Trauma 1 teaching hospital or large healthcare delivery system.
• Ability to multi-task and work independently.
• Ability to efficiently complete work assignments and interact with coding leadership team to review and discuss documentation, coding and reimbursement issues.