Lead Coder

Wayne Memorial Hospital Honesdale, Pa; Honesdale (Wayne County); On-site; USD 65,000 - 85,000; Full time

Job summary

Wayne Memorial Hospital Honesdale, PA is seeking a full-time hospital coder to evaluate medical records, assign ICD-10 and CPT codes for inpatient and outpatient services, and ensure high accuracy per AHIMA guidelines.

The role involves acting as a liaison between clinicians and the coding staff, collaborating with the revenue cycle team to maximize proper reimbursement, and supervising the coding department with education and guideline updates.

Qualifications

• Knowledge of ICD-10 and CPT coding principles as recommended by AHIMA.
• One or more years of experience providing coding services for hospital/acute care facilities.
• Must achieve acceptable accuracy in coding audits per facility standards.
• Coding certificate AHIMA-approved; RHIT/CCS preferred.

Responsibilities

• Code inpatient and outpatient records per nationally recognized guidelines.
• Serve as liaison between clinicians and coding staff; collaborate with revenue cycle for data quality and reimbursement.
• Supervise the coding department: distribute work, update guidelines, and provide coding education to coders and clinicians.

Skills

ICD-10 coding knowledge

CPT coding knowledge

Coding audits accuracy

Liaison between clinicians & coding

Clinical abstracting

Education

AHIMA-approved coding certificate

RHIT or CCS preferred

Tools

Meditech

3M Coding & Reimbursement

Job description

Job Description

Full-time - This is not a remote position.

Evaluates medical records, provides clinical abstracts and assigns appropriate clinical diagnosis and procedure codes for both inpatient and outpatient services in accordance with nationally recognized coding guidelines. Meets quality standards of having 95% of principal diagnoses and procedures correctly coded. Serves as a liaison between clinicians and the coding staff. Collaborates with all members of the revenue cycle to ensure data quality and optimum reimbursement allowable under the federal and state payment systems. Supervises the coding department in relation to the following: distribution of work assignments, dissemination of current coding guidelines and modern technology information, and provides relevant coding education to the coders, clinicians, and revenue cycle staff.

Evaluates medical records, provides clinical abstracts and assigns appropriate clinical diagnosis and procedure codes for both inpatient and outpatient services in accordance with nationally recognized coding guidelines. Meets quality standards of having 95% of principal diagnoses and procedures correctly coded. Serves as a liaison between clinicians and the coding staff. Collaborates with all members of the revenue cycle to ensure data quality and optimum reimbursement allowable under the federal and state payment systems. Supervises the coding department in relation to the following: distribution of work assignments, dissemination of current coding guidelines and modern technology information, and provides relevant coding education to the coders, clinicians, and revenue cycle staff.

Job Requirements

• Knowledge and understanding of ICD10 and CPT coding principles as recommended by the American Health Information Management Association coding competencies.
• One or more years of experience providing coding services for a broad range of hospital and acute care facilities.
• Must be able to achieve an acceptable accuracy rate on the coding audits administered by the hiring facility according to pre-established company standards.
• Minimum of successful completion of a coding certificate program in a program with AHIMA approval status. RHIT or CCS preferred.
• Prior hospital coding experience required.
• Meditech experience preferred; 3M Coding and Reimbursement experience required.
• Extensive knowledge of medical records principles and practices, anatomy…