Lead Coder

Wayne Memorial Hospital Honesdale, Pa; Honesdale (Wayne County); On-site; USD 65,000 - 90,000; Full time

Job summary

Wayne Memorial Hospital Honesdale, Pa is seeking a full-time medical coder to assign accurate ICD10 and CPT codes for inpatient and outpatient services. The role ensures 95% accuracy on coding audits and acts as a liaison between clinicians and the coding staff.

You will collaborate with the revenue cycle team to maintain data quality and maximize reimbursement under federal and state guidelines, and supervise the coding department's workload and education efforts.

Qualifications

• Knowledge and understanding of ICD10 and CPT coding principles as recommended by the AHIMA.
• One or more years of experience providing coding services for hospital facilities.
• Must achieve acceptable accuracy rate on coding audits per facility standards.
• AHIMA-approved coding certificate program; RHIT or CCS preferred.
• Prior hospital coding experience required.
• Meditech experience preferred; 3M Coding and Reimbursement experience required.
• Extensive knowledge of medical records, anatomy, physiology, pathology, terminology and coding classifications.

Responsibilities

• Evaluate medical records and assign accurate diagnoses and procedures for inpatient and outpatient services.
• Maintain 95% accuracy on principal diagnoses and procedures during audits.
• Act as liaison between clinicians and the coding staff.
• Collaborate with revenue cycle to ensure data quality and appropriate reimbursement.
• Supervise coding department including workload distribution and education.

Skills

ICD10 & CPT coding principles

Hospital coding experience

Coding audits accuracy

Medical terminology

Education

AHIMA-approved coding certificate program

Tools

Meditech

3M Coding and 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.

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.