Coder III

This is a fully remote position, open to applicants in United States.

📋 Description

• Accurately assign ICD-10-CM/PCS and HCPCS/CPT codes, along with payment group classifications and data abstractions for reimbursement and statistical reporting.

• Analyze and interpret records from inpatient, outpatient, ancillary, diagnostic, emergency medicine, and additional patient care settings.

• Execute coding and abstracting tasks to support billing, ensure data quality, compile statistics, and report severity-of-illness and risk-of-mortality.

• Implement UHDDS definitions, CMS regulations, and both official and internal coding standards.

• Utilize diagnostic reports, laboratory results, physician orders, and medication documentation for coding patient charts.

• Complete daily assignments while adhering to productivity and accuracy benchmarks.

• Mentor junior coders and those learning new coding disciplines.

• Abstract, determine, sequence, and input diagnosis and procedure data into relevant coding and abstracting systems.

• Utilize coding systems for effective communication, account holds, management inquiries, and queries.

• Collaborate with Coding Management to ensure accurate code assignment through chart reviews.

• Deliver coded and abstracted information for final coding and billing while maintaining productivity expectations.

• Review and rectify patient demographic and abstracted data received via HL7.

• Calculate inpatient encounters using MS-DRG and APR-DRG groupers.

• Sequence CPT codes employing APC grouper methodologies.

• Submit daily productivity reports.

• Participate in coding meetings, training sessions, seminars, and workshops.

• Report discrepancies in patient identification, accounts, encounters, documentation, and medical records.

• Assist with special coding initiatives.

• Support systems testing, report reconciliation, and IT project assistance.

• Manage aged coding accounts and process reports and queues from billing and coding systems.

⛳️ Requirements

• A CCS credential is required.

• A college degree in Health Information Management, completion of an AHIMA-approved certificate program, or one year of acute-care coding experience is required.

• One year of coding experience in an acute-care environment, specifically coding inpatient, observation, emergency medicine, or same-day surgery records, may substitute for educational qualifications.

• An Associate or Bachelor of Science degree in Health Information Technology is preferred.

• Proficient knowledge of ICD-10-CM/PCS and HCPCS/CPT coding.

• Familiarity with UHDDS definitions, CMS regulations, and both official and internal coding guidelines.

• Capability to code inpatient, outpatient, emergency medicine, ancillary, and diagnostic records.

• Experience using coding and abstracting systems, as well as MS-DRG, APR-DRG, and APC grouper methodologies.

• Ability to achieve productivity and accuracy standards.

• Availability for full-time work.

🏝️ Benefits

• Highly flexible scheduling and hours.

• Support for work/life balance.

• Equipment provided for tasks.

• Coding books supplied.

• Opportunities for continuing education credits.

• Memberships to professional organizations like AHIMA or APC.

• Comprehensive medical, dental, vision, and life insurance.

• 403(b) retirement plan with company matching.

• Generous paid time off policy.

• Annual membership to care.com.

• Access to backup care services for dependents via Care@Work.

• Retirement planning services available.

• Financial coaching offered.

• Reimbursement for fitness and wellness activities.

• Discounts available through various vendors for hotels, rental cars, theme parks, shows, sporting events, movie tickets, and much more.

• Employee assistance program included.