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 accurate ICD-10 and CPT codes, and ensure 95% accuracy in principal diagnoses and procedures.

The role acts as a liaison between clinicians and coding staff, collaborating with the revenue cycle team to optimize data quality and reimbursement. AHIMA-certified credentials are preferred, with RHIT/CCS favoured and experience with Meditech and 3M coding systems advantageous.

Qualifications

• Knowledge of ICD-10 and CPT coding principles per AHIMA competencies.
• 1+ year of coding experience for hospital/acute care facilities.
• Must achieve acceptable coding audit accuracy as per facility standards.

Responsibilities

• Evaluate medical records and assign correct clinical diagnoses and procedures.
• Ensure 95% accuracy for principal diagnoses and procedures.
• Serve as liaison between clinicians and coding staff; educate coders and revenue cycle staff.

Skills

ICD10 coding

CPT coding

Auditing accuracy

Collaboration

Education

AHIMA-approved coding certificate

RHIT or CCS preferred

Tools

Meditech

3M Coding

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.

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, physiology, pathology, medical terminology, standard nomenclature, and classification of diagnoses and operations.