Medical Records Coder - (Certification) CCS, RHIT, CIC, CPC

Strategic BH-Brownsville, LLC; United States; On-site; USD 42,000 - 64,000; Full time

Job summary

Palms Behavioral Health in Harlingen, Texas is seeking a Medical Records Coder with CCS, RHIT, CIC, or CPC certification. The role focuses on assigning ICD-10-PCS codes, ensuring accurate billing, and maintaining patient confidentiality.

Onsite position with healthcare coding responsibilities across inpatient and outpatient services. The ideal candidate has 2+ years of coding/billing experience and holds a relevant certificate or degree.

Qualifications

• High school diploma or equivalent.
• Certificate or Associate’s Degree in medical coding or related field preferred.
• Two or more years’ of medical billing/collections/coding required.
• Working knowledge of inpatient and outpatient coding and medical terminology.
• Knowledge of ICD-10-CPT coding principles and compliance standards.

Responsibilities

• Assigns ICD-10-PCS diagnosis and procedure codes for patient records.
• Codes claims accurately to obtain appropriate reimbursement from payers.
• Reads patient records to extract precise information from documentation, tests and reports.
• Requests diagnosis clarification from physicians when information is incomplete.
• Maintains confidentiality of patient information and ensures chart integrity.
• Escalates inconsistencies and supports workflow improvements to reduce billing errors.

Skills

ICD-10/CPT coding

Medical terminology

Anatomy & physiology

Coding accuracy

Confidentiality & compliance

Cross-coding knowledge

Education

High school diploma

Medical coding certificate/associate degree

Job description

Medical Records Coder - (Certification) CCS, RHIT, CIC, CPC | Palms Behavioral Health | Harlingen, Texas

About the Job

Purpose statement: The Medical 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

• 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.

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.