Senior Coder - Inpatient

highmarkhealth; Pennsylvania; Hybrid; USD 36,000 - 56,000; Full time

Job summary

Highmark Health in Pennsylvania seeks a skilled Hospital Coder to review medical records, assign accurate ICD-10-CM/PCS codes, and ensure compliant documentation.

You will abstract data for reporting, support cash flow through timely coding, mentor teammates, and participate in process improvements while staying current with ICD guideline updates.

Requires CCS or CIC, 5 years hospital coding, and strong data entry; HIPAA compliance is essential.

Qualifications

• High School/GED required.
• 5 years in Hospital Coding.
• 1 year in Trauma hospital coding.
• CCS or CIC certification required.
• Familiarity with medical terminology.
• Strong data entry skills.
• Understanding of computer applications.
• Ability to work with health care team.

Responsibilities

• Reviews and interprets medical information to determine appropriate ICD codes.
• Abstracts data elements for statistical requests and enters coded information.
• Manages cash flow related to unbilled coding reports.
• Keeps updated on ICD guideline changes and applies training.
• Acts as a mentor and subject matter expert to others.
• Participates in process improvement with coding team and management.
• Performs other duties as assigned.

Skills

Medical terminology familiarity

Data entry

Computer applications

Team collaboration

Education

High School Diploma or GED

CCS or CIC certification

Associate's degree in Health Information Management or related field (preferred)

Job description

GENERAL OVERVIEW:

This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days; all the while consistently meeting 92%-95% quality requirements.

ESSENTIAL RESPONSIBILITIES

• Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD codes for diagnoses and procedures. (60%)
• Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%)
• Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (5%)
• Keeps informed of the changes/updates in ICD guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates in daily work. (5%)
• Acts as a mentor and subject matter expert to others. (5%)
• Engages in process improvement with coding team and management. (5%)
• Performs other duties as assigned or required. (5%)

QUALIFICATIONS:

Minimum

• High School/GED
• 5 years in Hospital Coding
• 1 year in Trauma hospital coding
• Certified Coding Specialist (CCS) OR Certified In-patient Professional Coder (CIC)
• Familiarity with medical terminology
• Strong data entry skills
• An understanding of computer applications
• Ability to work with members of the health care team

Preferred

• Associate's degree in Health Information Management or Related Field

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement : This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.

Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Pay Range Minimum: $25.87

Pay Range Maximum: $40.48

Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

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