Medical Records Coder

Strategic BH-Brownsville, LLC; Harlingen (TX); On-site; USD 52,000 - 72,000; Full time

Job summary

Palms Behavioral Health is seeking a Medial Records Coder onsite to assign ICD-10-PCS codes for diagnoses and procedures, supporting accurate billing and compliant medical records.

This role reads records, extracts data, confirms DRG assignments, and safeguards patient confidentiality. Requirements include a high school diploma and 2+ years in medical billing or coding; CCS or RHIT certification is preferred. This is an on-site position with a collaborative team.

Qualifications

• Two or more years of medical billing, collections, and coding experience.
• Knowledge of ICD-10-CM/PCS and CPT coding.
• Experience with inpatient and outpatient coding recommended.

Responsibilities

• Assigns ICD-10-PCS codes for diagnoses and procedures.
• Codes claims to obtain reimbursement from insurance/government programs.
• Reads and analyzes patient records to extract precise information.
• Requests diagnosis information from physicians when records are incomplete.
• Maintains patient confidentiality and reports chart discrepancies.
• Collaborates with physicians to clarify diagnoses and treatment information.
• Processes physician reports needed to code accurately.

Skills

Medical billing

Medical coding

Attention to detail

Education

High school diploma or equivalent

Certificate or Associate's Degree in medical coding

Job description

About the Job:

The Medial Records Coder is responsible for assigning ICD-10-PCS diagnostic and procedural codes to patient accounts codes and abstracts hospital medical records for maintenance of disease indices, internal and external reporting, research, compliance with federal, state and other regulatory agencies, and for billing and reimbursement. Uses various coding manuals and computer encoder. Confirms appropriate DRG assignments. Safeguards and preserves the confidentiality of patient identifiable information in accordance with hospital and department policy. Resolves error reports associated with billing process, identifies and reports error patterns, and, when necessary, assists in design and implementation of workflow changes to reduce billing errors.

Roles and Responsibilities:

ESSENTIAL FUNCTIONS:

• Assigns appropriate codes using International Classification of Disease system (ICD-10) and/or Current Procedural Terminology (CPT) for diagnosis, procedures, and services.
• Correctly codes claims based on the services a patient receives in order to obtain reimbursement from insurance or government healthcare programs.
• Reads and analyzes patient records, extracting precise information from documentation, test results and reports.
• Requests diagnosis from physicians when not recorded on discharge and in cases where information is incomplete.
• Maintains confidentiality regarding patient care information and chart contents.
• Informs administrator of any incongruences noted in the chart record.
• Clarifies diagnosis, conditions, and treatment information by working with the physician according to company policy and procedure as needed.
• Processes physician reports needed to code appropriately and accurately.

Education/Experience/Skill Requirements:

• High school diploma or equivalent required.
• Certificate or Associate’s Degree in medical coding or related field preferred.
• Two or more years’ of medical billing/collections/coding required.
• Ability to crossover between all coding types and maintain a coding accuracy.
• A working knowledge of coding principles as it applies to both inpatient and outpatient coding and background in medical terminology, pathophysiology, anatomy & physiology.

Licenses/Designations/Certifications:

• CCS, RHIT or approved Medical Coding Certificate required.

Work Location:

This position is onsite at the facility and is not a remote position.

Supervisory Requirements:

This position is an Individual Contributor.

Why Palms Behavioral Health?

Palms Behavioral Health offers a comprehensive benefit plan and a competitive salary commensurate with experience and qualifications.

Palms Behavioral Health is an EOE. Veterans and military spouses are highly encouraged to apply. Summit BHC is dedicated to serving Veterans with specialized programming at our treatment centers across the country. We recognize and value the unique strengths of the military community in supporting our mission to serve those who have served.