Specialty Coder Senior - Coding

CHRISTUS Spohn Health System; San Antonio (TX); On-site; USD 60,000 - 78,000; Full time

Job summary

CHRISTUS Health Coding Leadership Opportunity focuses on maintaining high-quality ICD-10-CM, ICD-10-PCS and CPT coding for inpatient and outpatient accounts. The role ensures accurate abstraction into CHRISTUS Health EMR systems and collaboration with HIM and Clinical Documentation Improvement teams.

The Specialty Coder will report to regional leadership and must demonstrate strong written and verbal communication, independence in a remote setting, and adherence to AHIMA guidelines while

Qualifications

• High school diploma or equivalent years of experience required.
• Completion of AHIMA approved Coding Certificate Program, preferred.

Responsibilities

• Assign codes for diagnoses, treatments, and procedures per ICD-10-CM/PCS and CPT guidelines.
• Abstracts required information into CHRISTUS Health EMR systems.
• Validate admit orders and discharge dispositions.
• Maintain coding queue and re-assign accounts as needed.
• Meet or exceed 95% accuracy and productivity standards.
• Query providers for missing or unclear documentation with HIM/CDIS teams.

Skills

Communication skills

Remote work

Leadership mindset

Education

High school diploma or equivalent

AHIMA approved coding certificate program (preferred)

Job description

CHRISTUS Health Coding Leadership Opportunity

Selected by CHRISTUS Health Coding Leadership, to focus coding skills and expertise on designated Inpatient or Outpatient high dollar or specialty account types. Specialty Coder is responsible for maintaining current and high-quality ICD-10-CM, ICD-10-PCS and/or CPT coding for the Inpatient and or/ Outpatient diagnoses and procedural occurrences, through the review of clinical documentation and diagnostic results, with a consistent coding accuracy rate of 95% or better. Specialty Coder will accurately abstract data into any and all appropriate CHRISTUS Health electronic medical record systems, verifying accurate patient dispositions and physician data, following the Official ICD-10-CM and ICD-10-PCS Guidelines for Coding and Reporting and AMA CPT Guidelines.

Coder will work collaboratively with various CHRISTUS Health departments, including but not limited to the HIM and Clinical Documentation Specialists, to ensure accurate and complete physician documentation to support accurate billing and reduce denials. Coder will also assist in other areas of the department, as requested by leadership.

Coder will report directly to their Regional Coding Manager, with additional leadership from the Director of Coding Operations and System HIM Director.

Responsibilities:

• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
• Assign codes for diagnoses, treatments, and procedures according to the ICD-10-CM/PCS Official Guidelines for Coding and Reporting through review of coding critical documentation, to generate appropriate MS/APR DRG.
• Abstracts required information from source documentation, to be entered into the appropriate CHRISTUS Health electronic medical record system.
• Validates admit orders and discharge dispositions.
• Works from assigned coding queue, completing and re-assigning accounts correctly.
• Manages accounts on ABS Hold, finalizing accounts when corrections have been made, in a timely manner.
• Meets or exceeds an accuracy rate of 95%.
• Meets or exceeds the designated CHRISTUS Health Productivity standard per chart type.
• Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA).
• Assists in implementing solutions to reduce backend errors.
• Identifies and appropriately reports all hospital-acquired conditions (HAC).
• Expertly queries providers for missing or unclear documentation, by working with the HIM department and Clinical Documentation Improvement Specialists.
• Has strong written and verbal communication skills.
• Able to work independently in a remote setting, with little supervision.
• Participates in both internal and external audit discussions.
• All other work duties as assigned by the Manager.

Job Requirements:

Education/Skills

• High school Diploma or equivalent years of experience required.
• Completion of Accredited Baccalaureate Health Informatics or Health Information Management or an AHIMA approved Coding Certificate Program, preferred.

Experience

• 1 – 3 years of experience preferred.

Licenses, Registrations, or Certifications

• None required.

Work Schedule:

10AM - 7PM 8 HR Shift

Work Type:

Full Time