HIMS-Coder

Greater Regional Health; Creston (IA); Hybrid; USD 55,000 - 75,000; Full time

Job summary

Greater Regional Health is seeking a Certified Coder to provide coding for hospital accounts using ICD-10-CM, ICD-10-PCS and CPT codes. You will abstract information from patient records, assign diagnoses and procedures for reimbursement, and ensure documentation supports coding and billing.

Responsibilities include reviewing guidelines, maintaining productivity, querying physicians when needed, and supporting Medicare/Medicaid coding requirements.

Qualifications

• ICD-10 training including anatomy and physiology, ICD-10-CM, ICD-10-PCS preferred.
• Two years coding experience preferred.
• Medical transcription/coding certification recommended.
• Basic knowledge of medical terminology, anatomy, and medications recommended.
• Average keyboarding skills and computer knowledge required.
• Certifications CCS/CCS-P/CPC/CPC-H or RHIT/RHIA accepted.

Responsibilities

• Abstracts information from patient records for reimbursement and data collection.
• Assigns diagnostic and procedural codes (ICD-10-CM/PCS and CPT) for reimbursement.
• Uses coding references and reviews HIM Coding Guidelines.
• Maintains department productivity levels per director and standards.
• Monitors accounts with missing information and investigates delays.
• Queries physicians when documentation is unclear for coding.
• Routes records for completion of deficiencies and ER level assignments as needed.
• Assists with hospital-wide process to ensure medical necessity for Medicare/Medicaid.
• Checks charges in Epic to verify charges and ER levels.

Skills

ICD-10 training

Coding experience

Medical terminology

Typing/keyboard skills

Coding certifications

Tools

Epic

Job description

Greater Regional Health has a full time opportunity for a Certified Coder. While in this role the candidate will provide Coding for hospital accounts utilizing ICD-10-CM, ICD-10 PCS & CPT codes.

Major Tasks, Duties, and Responsibilities for Coders:

• Abstracts pertinent information, including discharge status codes and discharge time, from patient records for the purpose of reimbursement and statistical data collection.
• Assigns diagnostic and procedure codes for the purpose of reimbursement utilizing ICD-10- CM, ICD-10-PCS and/or CPT HCPCS codes in order to create APCs or DRG assignments.
• Uses all available coding references for coding guidance.
• Regularly review the HIM Coding Guidelines.
• Responsible for maintaining department productivity levels as established by department director and industry standards.
• Monitor weekly old accounts/claims with missing information and investigate the reason for the claims being held up in the coding/documentation process.
• Ensure all records are complete with the maximum amount of information needed in order to accurately code and release account and send to the main file.
• Queries physician when documentation is not straight forward, inadequate, ambiguous, or unclear for coding purposes.
• Routes and reroutes records for completion of deficiencies.
• May assign evaluation and management levels for Emergency Room accounts in preparation for billing the professional and technical charges.
• Assist with the hospital wide process of ensuring medical necessity is met on Medicare and Medicaid accounts.
• Checks charges in Epic to verify appropriate charges and ER levels. Alerts HIM Director and/or Business Office representative to correct charges.
• Checks charges in Epic for all other charges.
• Stays informed with the most up to date coding guidelines, reimbursement reporting requirements. Brings identified concerns to HIM Director for resolution.
• Helps ensure appropriate records are on the chart before coding.
• Utilize time clock or online time clock (ADP) for clocking in and out and checking hours.
• Assist with answering coding related calls. Maintain patient private information and protect operations by keeping information confidential.
• Utilizes Epic for access to accurate patient account information.

Skills, Education and Experience:

• Successful completion of ICD-10 training to include anatomy and physiology, ICD-10-CM, ICD-10-PCS courses (coders only) preferred.
• At least two years of coding experience is preferred.
• Medical transcription/coding certification recommended.
• Basic knowledge of medical terminology, anatomy, and medications recommended.
• Average keyboarding skills and computer knowledge required.
• Certifications accepted include CCS, CCS-P, CPC, CPC-H, as well as RHIT or RHIA

Hours for this position have the potential for flexibility after a probationary period has been completed. This position does have the option to work remotely! Staff are required to attend in person meetings on a regular basis.

J oin our dynamic group of employees in our HIMS Department and become part of an outstanding team of staff who are committed to improving the health of the patients we serve with care and compassion!

Greater Regional offers an outstanding benefits package to all full-time employees which includes IPERS, tuition reimbursement, wellness screenings, wellness reimbursements, and more.

Patients have a choice in health care, they choose Greater Regional Health. You have a choice in employment, choose Greater Regional Health!

***In order for current employees to be eligible to receive a referral bonus, the applicant cannot have worked at GRH previously and the applicant must include the full name of a current GRH employee on their UKG application in the blank provided. New hires must be hired for a regular, non-casual position to be eligible for bonus. New hires must not drop status for two years after hire for referring employee to get the full bonus. Managers will not be eligible if referring a new team member to their respective department.***

Thought Provoking

Capable of making others think deeply on a subject

Team Player

Works well as a member of a group

Detail Oriented

Capable of carrying out a given task with all details necessary to get the task done well

Dedicated

Devoted to a task or purpose with loyalty or integrity

Goal Completion

Inspired to perform well by the completion of tasks

Work-Life Balance

Inspired to perform well by having ample time to pursue work and interests outside of work

Self-Starter

Inspired to perform without outside help

Financial

Inspired to perform well by monetary reimbursement

Equal Opportunity Employer
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