Lead Coder

Pailin Group Psc; Town of Texas (WI); On-site; USD 50,000 - 85,000; Full time

Job summary

A healthcare organization seeks an Inpatient or Outpatient Coder to join their team in Texas, WI. The ideal candidate will assign diagnostic and procedural codes to patient charts, perform quality management data entry, and support documentation improvement efforts. This role requires a RHIA, CCS certification, and at least two years of coding experience, along with strong mentoring skills for entry-level coders.

Qualifications

• Minimum of two years technical coding experience that includes inpatient and/or outpatient.
• Additional credentials such as CGCS, CPC-H or CPC-C preferred.
• Experience in computerized encoding and abstracting in a Windows-based environment preferred.

Responsibilities

• Reviews medical records for the assignment of documented diagnoses and procedures.
• Codes and sequences all types of patient records (inpatient, outpatient).
• Mentors/trains entry-level coders as needed.

Skills

Diagnostic coding

Procedural coding

Data entry

Communication

Education

Registered Health Information Administrator (RHIA)

Certified Coding Specialist (CCS)

Tools

Windows-based encoding software

Job description

As an Inpatient or Outpatient Coder, you will work under general supervision to assign diagnostic and procedural codes to patient charts of moderate to high complexity levels using ICD-9 and CPT, HCPCS, and any other designated coding classification system in accordance with coding rules and regulations.

Essential functions include but are not limited to:

• Reviews medical records for the determination and accurate assignment of all documented diagnoses and procedures.
• Assigns and sequence codes based on medical record documentation.
• Abstracts and enters coded data and designated quality management data for hospital statistical and reporting requirements.
• Communicates documentation improvement opportunities and coding issues (discrepancies, physician queries, etc.) to the appropriate personnel for follow up and resolution.
• Serves as a functional resource for entry-level coders and mentors/trains other coders as needed.
• Codes all types of patient records (i.e., inpatient, outpatient with the exception of specialty coding).

Mandatory Requirements

• Registered Health Information Administrator (RHIA)
• Certified Coding Specialist (CCS)
• Minimum of two years technical coding experience that includes inpatient and/or outpatient
• Additional credentials such as CGCS, CPC-H or CPC-C preferred
• Experience in computerized encoding and abstracting in a Windows-based environment preferred