HIM Coder II, Certified, Remote

Amberwell-Health-1; Atchison (KS); Remote; USD 55,000 - 75,000; Full time

Job summary

Amberwell Health is seeking a HIM Coder II to join our Health Information Management team in Atchison, KS. The coder will review medical records and assign ICD-10-CM and ICD-10-PCS codes for inpatient, observation, and surgical cases, following AHIMA standards and ICD-10 guidelines.

Under the direction of the Coding Manager, you will query physicians, verify charges, and ensure accurate CPT/HCPCS modifiers for outpatient claims, while collaborating with the HIM team and maintaining high-quality

Qualifications

• Minimum 1 year inpatient and surgery coding experience.
• RHIT/CCS/CIC required; RHIA preferred.
• Graduate of a Medical Coding program or Health Information Tech program.
• Strong accuracy and attention to documentation and coding standards.

Responsibilities

• Review documentation to assign ICD-10-CM diagnosis codes and ICD-10-PCS procedure codes for inpatients, observation, and surgery.
• Perform physician queries to clarify documentation and improve coding accuracy.
• Complete charge verification and apply CPT, HCPCS, and modifier codes for outpatient claims.
• Work as part of the HIM team and independently as needed.
• Adhere to AHIMA Standards and ICD-10 guidelines and hospital policies.

Skills

Medical coding

ICD-10-CM/ICD-10-PCS

Physician communication

Team collaboration

Education

RHIT

CCS

CIC

RHIA (preferred)

Tools

EMR system

Claim scrubber

CPT/HCPCS modifiers

Job description

The HIM Coder II is a key member of the HIM team. The HIM Coder II will work under the direction of the Manager of Coding. This position will review documentation in the electronic medical record and assign and sequence ICD-10-CM diagnosis codes and ICD-10-PCS procedure codes, in accordance with the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and in compliance with ICD-10 Official Coding Guidelines and other regulatory requirements. The primary focus of the role is the coding of all inpatients, observation, and surgical accounts. Inpatients will use Diagnosis Related Groups (DRG) methodologies, including present on admission indicators, analyzing the medical record documentation for complications and comorbidities. The HIM Coder II will perform physician queries, clarify documentation and complete charge verification, understanding how to apply appropriate CPT, HCPCS, and modifier codes for outpatient claims. Proficiently understands and works edits and denials through the claim’s scrubber queues.Duties may include but are not limited to:Able to work as a member of a team and also independently.Understand and follow safe work practices.Ensure that all Amberwell procedures are followed in accordance with established policies.Experience:Minimum Required Experience: One year of inpatient and surgery coding experiencePreferred Experience: Two years of progressive inpatient facility coding experience, one year of orthopedic surgery coding experienceEducation:Minimum Required Education: High school diploma and graduate of a Medical Coding ProgramPreferred Experience: Graduate of a Health Information Technology programLicenses & Certifications:Minimum Required: Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC)Preferred Certifications: Registered Health Information Administrator (RHIA)