HIM Coder Inpatient REMOTE

Capital Health; United States; Remote; USD 10,000 - 60,000; Full time

Job summary

An established industry player in healthcare is seeking a detail-oriented HIM Coder for a fully remote position. This role involves accurately assigning codes to diagnoses and procedures, ensuring compliance with regulations, and collaborating with healthcare providers. The ideal candidate will possess strong organizational and communication skills, along with a thorough understanding of medical terminology and coding systems. Join a forward-thinking organization that values quality patient care and offers a supportive remote work environment where you can thrive and make a significant impact in the healthcare sector.

Qualifications

• High school diploma required; CCS certification within 1 year of hire.
• Previous experience in hospital or medical setting preferred.

Responsibilities

• Assign codes accurately to diagnoses and procedures in medical records.
• Maintain productivity standards and ensure compliance with coding guidelines.
• Abstract data and interact with providers for documentation.

Skills

Organizational Skills

Verbal Communication

Written Communication

Attention to Detail

Time Management

Intermediate Computer Skills

Education

High School Diploma

Tools

ICD-10-CM

ICD-10-PCS

Encoder

EMR

Job description

Work Shift:

Day (United States of America)

Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advance technology. Capital Health is a five-time Magnet-Recognized health system for nursing excellence and is comprised of 2 hospitals. Capital Health Medical Group is made up of more than 250 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region.

Position Overview:

HIM Coder Inpatient *FULLY REMOTE

JOB CODE:50331

FLSA Exemption Status: Non-Exempt

Telecommuting Eligible: Yes

SUMMARY (BASIC PURPOSE OF THE JOB): Assigns codes accurately to diagnoses and procedures within the medical record to comply with federal and state regulations. Sequences codes accurately for proper and optimal DRG assignment. Queries physicians or hospital staff as needed to ensure proper assignment of codes. Abstracts data from the medical records and assures that all required elements are appropriately entered into the hospital information system. Performs other duties as assigned.

MINIMUM REQUIREMENTS:

Education: High school diploma or equivalent.

Experience: Previous hospital or medical setting or patient coding experience. CCS must be obtained within 1 year of hire.

Other Credentials:

Knowledge and Skills: Possesses excellent organizational, interpersonal, verbal, and written communication skills. Has vigilance and keen attention to detail. Possesses proper phone and email etiquette for frequent hospital and private provider exchanges. Excellent time management to meet deadlines and productivity targets. Intermediate computer skills.

Special Training: Thorough knowledge of medical terminology, anatomy, and physiology. Understanding of ICD-10-CM, ICD-10-PCS. Knowledge and experience using an encoder, and EMR required.

Mental, Behavioral and Emotional Abilities: Ability to work independently in a remote environment. Ability to work under pressure. Ability to work in a fast-paced environment with ability to meet productivity standards. Ability to interact effectively with other staff members to complete certain aspects of job.

Usual Work Day: 8 Hours

REPORTING RELATIONSHIPS:

Does this position formally supervise employees? No

If set to YES, then this position has the authority (delegated) to hire, terminate, discipline, promote or effectively recommend such to manager.

ESSENTIAL FUNCTIONS:

• Assigns codes with high accuracy rate in accordance with inpatient coding guidelines. Completes coding according to established time frame and ensures reduced DNFB accounts.
• Maintains excellent accuracy rate for proper sequencing of codes for proper DRG assignment per coding guidelines.
• Discusses medical record information with providers, quality, and CDI when necessary, in accordance with coding guidelines.
• Contacts providers or other staff to obtain missing documentation or signatures timely in an effort to reduce DNFB accounts.
• Abstracts data with a high accuracy rate in accordance with established policy.
• Adapts to changing department demands evidenced by higher department efficiency.
• Ensures compliance with medical coding policies and guidelines.
• Maintains productivity standards per established monthly goals.
• Performs other duties as assigned.

PHYSICAL DEMANDS AND WORK ENVIRONMENT:

Frequent physical demands include:

Occasional physical demands include: Standing, Walking, Push/Pull, Twisting, Bending, Reaching overhead, Squat/kneel/crawl, Talk or Hear

Continuous physical demands include: Sitting, Reaching forward, Wrist position deviation, Pinching/fine motor activities, Keyboard use/repetitive motion

Lifting Floor to Waist 15 lbs. Lifting Waist Level and Above 15 lbs.

Sensory Requirements include: Accurate Near Vision, Accurate Far Vision, Accurate Depth Perception, Accurate Hearing

Anticipated Occupational Exposure Risks Include the following: N/A IND123

Offers are contingent upon successful completion of our onboarding process and pre-employment physical. Capital Health will require all applicants to have an annual flu vaccine prior to start date, with the exception of individuals with medical and religious exemptions.