HIM Coder-Non-Exempt FT

DaMar Staffing; Floresville (TX); On-site; USD 45,000 - 65,000; Full time

Job summary

DaMar Staffing is seeking a HIM Coder-Non-Exempt FT in Floresville, TX to assign ICD-9-CM codes and DRG-related data, abstract medical records, and support hospital reimbursement accuracy.

The role requires an associate degree or equivalent, and RHIT/RHIA/CCS certification are preferred. Six months to one year of related experience is expected, with collaboration across clinicians to ensure complete records.

Qualifications

• Associate's degree or equivalent required; six months to one year related experience.
• Education and certifications in medical information management preferred.
• Familiarity with ICD-9-CM coding and DRG reimbursement guidelines.

Responsibilities

• Abstracts and codes diagnoses, operations, and procedures from health records using classification systems.
• Prepares statistical reports required by regulations and hospital policy.
• Assigns severity of illness index ratings and auxiliary codes as needed.
• Compiles data from health records and computer systems for quality care evaluation.
• Monitors completion of medical records and audits delinquencies.
• Confers with doctors, nurses and health staff to ensure current, accurate records.

Skills

Medical coding

Medical terminology

Data abstraction

Education

Associate's degree (A. A.) or equivalent

RHIT/RHIA/CCS certification

Tools

Health record software

Job description

HIM Coder-Non-Exempt FT

Main 499 - Floresville, TX 78114

Overview

Position Type Full Time Job Shift Day Education Level High School Travel Percentage None Category Admin - Clerical

Description

Summary Under general supervision and according to established procedures, assigns diagnostic codes to medical record information. Codes charts under the ICD 9 CM and HCPCS System for statistical and DRG assignment purposes. Abstracts required data into hospital abstracting system. The outcome of information gathered is used to determine the hospital database and reimbursement of hospital claims.

Essential Duties and Responsibilities include the following. Other duties may be assigned.

• Abstracts and codes diagnoses, operations, and procedures from health records by using appropriate classification systems, standards, and procedures.
• Prepares statistical reports required by applicable legal, accrediting, and/or licensing regulations and hospital policy.
• Assigns patient severity of illness index ratings, supplemental codes, and other data as necessary.
• Compiles information and data from health records and computer systems for use in the evaluation of quality of care and utilization review.
• Monitors completion of medical records in accordance with time standards.
• Audits incomplete records and prepares reports on delinquencies.
• Confers with doctors, nurses, and other health personnel to assure complete, current, and accurate medical records.
• Compiles and maintains logs, reports, and statistical records, and researches records to locate health data as requested.
• Maintains and utilizes variety of health record indexes and storage and retrieval systems.
• Operates computer to process, store, and retrieve health information.
• Assists in identification of medical records needed for research, using both manual and computer indexes.

Education and/or Experience

Associate's degree (A. A.) or equivalent from two-year college or technical school; or six months to one year related experience and/or training; or equivalent combination of education and experience.

Must be able to perform concurrent chart review for proper DRG estimations for reimbursement. Must be educated in Medicare, Medicaid, and other insurance reimbursement guidelines.

Certificates, Licenses, Registrations

Equivalent to an associate's degree in medical information technology (with course work in medical terminology, anatomy, physiology, disease processes, ICD 9 CM coding and prospective payment) required.

RHIT, RHIA, or CCS required.

Qualifications

Education and/or Experience

• Associate's degree (A. A.) or equivalent from two-year college or technical school; or six months to one year related experience and/or training; or equivalent combination of education and experience.
• Must be able to perform concurrent chart review for proper DRG estimations for reimbursement. Must be educated in Medicare, Medicaid, and other insurance reimbursement guidelines.

Certificates, Licenses, Registrations

• Equivalent to an associate's degree in medical information technology (with course work in medical terminology, anatomy, physiology, disease processes, ICD 9 CM coding and prospective payment) required.
• RHIT, RHIA, or CCS required.