Hospital Coder / Inpatient - Full Time

Black Hills Surgical Hospital; United States; Remote; USD 34,000 - 55,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Life insurance

401(k)

Work-life balance

Generous time off

Job summary

Black Hills Surgical Hospital, LLP seeks a Coding Specialist to review inpatient documentation and assign ICD-10-CM and ICD-10-PCS codes for billing, reporting and quality monitoring. You will apply coding guidelines and collaborate with CDI and quality teams to ensure compliant documentation and accurate MS-DRG/APR-DRG reporting.

Requirements include an Associate degree in Health Information Technology (or higher) and professional credentials such as RHIA/RHIT/CCS.

Qualifications

• Associate degree in Health Information Technology (or eligible) required.
• RHIA/RHIT/CCS certification required.
• New graduates eligible for certification; must complete exam after employment.

Responsibilities

• Review inpatient clinical documentation to assign ICD-10-CM and ICD-10-PCS codes for billing, data reporting, and quality monitoring.
• Apply Official Coding Guidelines and CMS/regulatory guidelines for ICD-10 coding.
• Collaborate with clinical documentation improvement and quality teams to standardize coding and documentation practices.
• Maintain up-to-date knowledge of ICD-10 principles and payer requirements.
• Operate with various software solutions; may work in a home-based, remote setting.

Skills

ICD-10-CM coding

ICD-10-PCS coding

MS-DRGs/APR-DRGs

Clinical documentation improvement

Health Information Management

Encoder software

Collaboration with CDI/Quality

Education

Associate degree in Health Information Technology

Bachelor’s degree in Health Information Management

CCS/RHIA/RHIT certification

Tools

Encoder software

Hospital coding software

Job description

Coding Specialist

Reviews inpatient clinical documentation, procedural information, and diagnostic results to apply ICD-10-CM and PCS diagnostic and procedural codes used for billing, internal and external data reporting, research, regulatory compliance, and quality monitoring. Using professional coding training, critical thinking, and clinical acumen, accurately assigns ICD-10-CM and ICD-10-PCS codes to conditions and procedures documented within the inpatient electronic medical record. Applies Official Coding Guidelines, CMS regulations/guidelines, and other coding standards and guidelines established for use with the ICD-10 standard code set. Responsible to maintain quality and productivity standards and guidelines as set by the organization. Remains up-to-date on ICD-10-CM and PCS coding principles, governmental regulations, official coding guidelines and third-party payer requirements as they relate to compliant documentation, billing and coding practices. Strong knowledge of MS-DRGs and APR-DRGs. Works collaboratively with providers and departments such as clinical documentation improvement and quality to standardize and enhance coding, documentation, and quality reporting related practices. Works with a variety of software solutions in the performance of daily work. Flexible and a strong commitment to team where staff and leaders work together across great distances, most often in a home-based work setting.

Associate degree in Health Information Technology (or eligible) or Bachelors degree in Health Information Management and/or Certified Coding Specialist (CCS) required. Previous hospital coding experience highly desirable. Prior computer and/or encoder software experience desirable. Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS) required. New graduates eligible for certification must complete the certification examination at the earliest testing dates following employment, and all subsequent dates thereafter until the exam is satisfactorily completed. If the individual fails the exam two consecutive times, there will be an evaluation by the Department Director who will determine one of the following: Continue employment if overall job performance is satisfactory. If the employee is allowed to continue employment, failure to pass the exam on the third opportunity will result in immediate termination. If performance is not satisfactory, the employee may be terminated.

Sanford offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance.