HIM Coder Analyst I

Cook Children's Health Care System; Town of Texas (WI); On-site; USD 52,000 - 78,000; Full time

Job summary

Cook Children's Health Care System is seeking an HIM Coder Analyst I to assign ICD-10-CM/PCS and CPT-4 codes with precision for emergency and outpatient settings, based on physician documentation. The role emphasizes timely coding and collaboration with clinicians.

The candidate should have 1 year of coding experience, proficiency with EHR systems, Excel and Word, and be capable of working independently. Certifications (RHIA/RHIT/CCS/CPC) are preferred or obtainable through education within 3–12

Qualifications

• One year of current and continuous full-time ICD-10 & CPT-4 coding experience.
• Proficient in navigation of EHR applications, automated encoders, and related software/hardware.
• Proficient with Microsoft Excel and Word.
• Demonstrated coding knowledge with a 90% accuracy in an on-site skills assessment prior to hire.

Responsibilities

• Apply ICD-10-CM/PCS and CPT-4 codes to encounters with high specificity.
• Review and interpret medical records to identify diagnoses and procedures for billing.
• Communicate with physicians regarding documentation requirements.
• Maintain current knowledge of coding rules and guidelines and perform accurately with minimal supervision.

Skills

Attention to detail

Independent work

Communication skills

Education

AHIMA- or AAPC-accredited program

Tools

EHR navigation

Automated encoders

MS Excel

MS Word

Job description

Summary

The HIM Coder Analyst I requires knowledge of and skill in applying International Classification of Diseases and Procedures (ICD), and Current Procedural Terminology (CPT) code sets and associated Medicare/Medicaid rules and guidelines. Reviews and interprets patient medical record documentation to identify pertinent diagnoses and procedures and assigns ICD-10-CMPCS and CPT 4 codes accurately and timely to the highest level of specificity based upon physician documentation for emergency department, outpatient clinic as the major responsibility and may assist with ambulatory surgery designated as simple cases. The HIM Coder Analyst I abstracts specified information from the patient medical record, enters the data into the electronic health record system for billing and use in all types of company reporting. Minimum expected accuracy rate for all coding is 95% or above. The HIM Coder Analyst I communicates with physicians and other providers regarding documentation requirements and collaborates with Clinical Documentation Specialists regarding documentation and coding requirements. Maintains current knowledge of coding and documentation changes, rules and guidelines. A successful candidate would have the ability to work well independently and productively with minimal guidance and without direct supervision. The HIM Coder Analyst I is highly detail oriented, can remain focused with good organization, interpersonal and communication skills. They can maintain confidentiality, are goal oriented, flexible, and energetic. Demonstrates coding, and critical thinking skills. Ability to solve problems appropriately using job knowledge and current policies and procedures.

Location

Remote - TX

Department

HIM-Coding

Shift

First Shift (United States of America)

Standard Weekly Hours

40

Qualifications

• One (1) year current and continuous full time ICD-10 & CPT-4 coding experience
• Technically competent and fluent knowledge in navigation of electronic health record applications, automated encoders, and other software applications and hardware required for job role required
• Microsoft Office Excel and Word
• Demonstrated coding knowledge and proficiency is required through on-site skills assessment with a passing score of 90% accuracy prior to hire.

Preferred Certifications

• Registered Health Information Administrator (RHIA)
• Registered Health Information Technician (RHIT)
• Certified Coding Specialist (CCS)
• Certified Professional Coder (CPC)

Candidates with AHIMA credentials must provide current continuing education (CE) records.

Candidates Without a Current Credential Must Meet One of the Following Requirements

Experienced Coders

• Provide documentation of extensive coding experience.
• Submit educational certificates demonstrating completion of coursework in:
• Anatomy
• Pathophysiology
• Medical Terminology
• ICD-10-CM
• CPT-4
• Obtain the Certified Coding Associate (CCA) credential within 6 months of hire.
• Obtain the Certified Coding Specialist (CCS) credential within 12 months of hire.

New Graduates

• Provide proof of completion of an AHIMA- or AAPC-accredited program within the last 3 months.
• Be eligible and approved to sit for a national certification exam (RHIA, RHIT, CCS, or CPC).
• Obtain the applicable certification within 3 months of graduation.

About Us

Cook Children's is an equal opportunity employer. As such, Cook Children's offers equal employment opportunities without regard to race, color, religion, sex, age, national origin, physical or mental disability, pregnancy, protected veteran status, genetic information, or any other protected class in accordance with applicable federal laws. These opportunities include terms, conditions and privileges of employment, including but not limited to hiring, job placement, training, compensation, discipline, advancement and termination.