HIM Coordinator

Everest Rehabilitation Hospitals, LLC; Ocoee (FL); On-site; USD 60,000 - 80,000; Full time

Job summary

An established industry player is seeking a detail-oriented coding specialist to ensure accurate clinical documentation and compliance with healthcare standards. This role involves analyzing medical records, assigning appropriate codes, and collaborating with clinical staff to enhance patient care quality. Join a supportive team dedicated to exceptional care and continuous improvement, where your contributions will directly impact patient outcomes and organizational success. If you are passionate about health information technology and eager to grow in a dynamic environment, this opportunity is perfect for you.

Qualifications

• Minimum of 1 year experience with ICD-10 and CPT coding in a hospital.
• Possesses strong analytical skills and attention to detail.

Responsibilities

• Analyze clinical documentation to assign codes for diagnoses and co-morbidities.
• Maintain privacy and security of all protected patient health information.

Skills

ICD-10 Coding

CPT Coding

Analytical Skills

Communication Skills

Organizational Skills

Education

A.S. / A.A.S. in HIT

CCS Certification

Tools

Medical Record System

Computers

Job description

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The following statements are intended to describe the general nature and level of work being performed and are not intended to be a complete list of all responsibilities, duties, and skills required.

Summary

This position is primarily responsible for ensuring that clinical documentation is accurately coded, entered into the medical record system, and appropriately disclosed according to established procedures, while maintaining compliance with federal, state, accreditation, and Acute In-Patient Rehabilitation Hospital Standards.

Essential Duties And Responsibilities

May include, but is not limited to the following:

Job Specific

• Analyzes clinical documentation to accurately assign codes for primary and secondary diagnoses and co-morbidities, suggesting modifications as necessary.
• Processes physician authorized diagnosis changes per approved procedure.
• Audits, enters and locks CPT codes for physician visit billing in the medical record system.
• Provides insight and guidance to clinical staff in determining accurate diagnosis and evaluation/management visit codes.
• Processes requests for disclosures of patient information including FMLA forms, letters, life, and long-term care insurance claims, chart copies, etc., facilitating completion of forms by physicians and ensuring required written authorization from the patient/representative.
• Reviews documentation at patient discharge, recording findings on the HIM spreadsheet for chart completion and process improvement monitoring.
• Performs weekly audit of closed records for chart completion.
• Distributes recertification documents to physicians for completion within the required timeframe.
• Covers staff absences and assists with other HIM duties as needed, including but not limited to:
• scanning and filing
• chart assembly
• admission reviews
• preparation of physician visit materials
• completion of death certificates
• Maintains the privacy and security of all protected patient health information (PHI), in compliance with federal HIPAA regulations.
• Responsible for learning and utilizing technology made available by the agency to increase efficiency, communication and performance of duties.
• Participates in the agency’s Quality Improvement program.
• Attends staff meetings and completes all mandatory training.
• Performs other duties as assigned.
  

Qualifications

• Possesses coding education or a minimum of 1 year of experience with ICD-10 and CPT coding in a Hospital; AHIMA or AAPC certification preferred.
• Possesses excellent verbal and written communication skills.
• Demonstrates strong organizational, time management, and prioritization skills.
• Possesses strong analytical skills.
• Possesses experience working with computers, printers, fax machines, and copiers.
• Has the ability to work independently and within an interdisciplinary team.
• Understands and is committed to the Acute In-Patient Hospital philosophy
  
  

Education

A.S. / A.A.S.in HIT preferred.

License/Certification

CCS certification. Current Basic Life Support (BLS) CPR certification through the American Heart Association. Certifications must be maintained throughout employment. Employee must obtain certification within one year from hire date.

Experience

Possesses coding education or a minimum of 1 year of experience with ICD-10 and CPT coding in a medical records office; must have record management experience; health information technology (HIT) degree with credential or coding certificate preferred. Possesses strong analytical skills. Possesses experience working with computers, printers, fax machines, and copiers. Has the ability to work independently and within an interdisciplinary team. Understands and is committed to Everest’s philosophy.

Other Requirements

Participates in or conducts company-wide sponsored training to safeguard against improper use and disclosure of patient’s protected health information. Monitors and ensures compliance with company policies, procedures, state and federal regulations and Accreditation Standards.

Company Specific

• Adheres to dress code, appearance is neat and clean and wears appropriate identification while on duty.
• Adheres to all smoking or tobacco regulations established by corporate building owners, state or federal laws.
• Completes annual health, safety, and education requirements. Maintains professional growth and development.
• Maintains confidentiality of all patient and/or employee information to assure patient and/or employee rights are protected.
• Demonstrates knowledge of the principles of growth and development over the life span and the skills necessary to provide age appropriate care to the patient population served.
• Reports to work on time as scheduled; adheres to policies regarding notification of absence.
• Attends all mandatory in-services and staff meetings.
• Represents the organization in a positive and professional manner.
• Complies with all organizational policies regarding ethical business practices.
• Communicates the mission, ethics, and goals of the hospital, as well as the focus statement of the department.
• Maintains current license/certification for position, if applicable.
• Consistently demonstrates Guest Relation’s skills to patients, physicians, visitors, employees, and any other individuals with whom they may come in contact.
• Consistently follows departmental and hospital Health, Safety, Security, Hazardous Materials policies and procedures.
• HIPAA: Conduct job responsibilities in accordance with HIPAA privacy laws, follow hospital policy in provision of patient confidentiality. Able to identify patient confidentiality issues and reports to proper hospital personnel immediately.
• Compliance: Conducts job responsibilities in accordance with standards set forth in Code of Conduct, policy and procedures, applicable federal and state laws, and applicable standards.
  
  

Core Values

Professionalism –To always maintain the highest standard and regard for others. Keep skills, competencies and required licenses/certifications current; displays mastery over attitude and behavior and pride in appearance. Consistently performs duties to the best of abilities.

Exceptional Care—to go above and beyond our peers by providing exceptional care to WOW our customers—patients, family, physicians, and each other.

Respect – Treating others as they would like to be treated; valuing others. Acknowledges the worth of others through professional greetings, proper telephone etiquette, patience, and common courtesy.

Fun - Having fun and celebrating small successes in our journey to achieve big. Always demonstrates a positive attitude toward work and devotion to our passion and task at hand.

Teamwork –To function as a unit, with common goals, recognizing we can achieve far more as a team than as individuals. Cooperates with co-workers while performing duties leading to everyone being able to achieve success and giving recognition where it is due.

Integrity – To always be honest and trustworthy in all our relationships. Demonstrates adherence to a strict moral or ethical code in performance of duties by always seeking to do the right thing.

Accountability -- Responsibility of our actions that influence the lives of our customers and fellow workers. Takes ownership of all aspects of duties shown through reliable, timely performance and responsibility.

Responsibility – Maintains accountability by doing what is expected or beyond; assuring the appropriate tasks and project items are completed. Takes ownership of all aspects of duties shown through reliable, timely performance and accountability.

Knowledge/Skills/Abilities

• Excellent oral and written communication and interpersonal skills.
• Ability to work under stress and to respond quickly in emergency situations. Ability to work cooperatively as a member of a team.
• Demonstrates interpersonal skills when working or interacting with patients, their families and other staff members.
• Ability to communicate in English effectively through verbal and written means to the extent necessary to perform job duties appropriately. Reading and comprehension at level necessary to perform job duties appropriately.
• Understands the principles of growth and development for the entire lifespan and ability to provide care appropriate for adult and geriatric patients as appropriate to the patient population. (If this position does not care for patients, i.e. not a clinic
• Ability to maintain confidentiality of all patient and/or employee information to assure patient and/or employee rights are protected.

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Other

Job function

• Job function

  Other

• Industries

  Hospitals and Health Care

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