Coder III

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

📋 Description

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

• Analyze and interpret records from inpatient, outpatient, ancillary, diagnostic, emergency medicine, and other patient sources.

• Conduct coding and abstraction to enhance billing, data quality, statistical reporting, severity of illness, and risk of mortality metrics.

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

• Utilize diagnostic reports, lab results, physician orders, and medication documentation to accurately code patient charts.

• Complete daily assignments and operate within the relevant service-line structures.

• Guide and mentor junior coders and those training in new coding disciplines.

• Abstract and sequence diagnosis and procedure codes, inputting data into the coding and abstraction system.

• Utilize the coding system for communication, managing account holds, inquiries, and clarifications.

• Collaborate with Coding Management to ensure precise code assignment during chart reviews.

• Provide coded and abstracted data for final coding and billing while meeting productivity benchmarks.

• Review and amend prepopulated patient demographic and abstracted data within the coding system.

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

• Sequence CPT codes employing APC grouper methodologies.

• Submit daily productivity updates.

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

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

• Assist with special coding projects.

• Support coding and billing system testing, report reconciliation, and other IT projects.

• Contribute to revenue-cycle objectives by managing aged coding accounts and coding-system reports and queues.

⛳️ Requirements

• CCS credential is mandatory.

• A college degree in Health Information Management, completion of an AHIMA Approved Certificate Program, or one year of coding experience in an acute care environment is essential.

• Acute care coding experience must encompass inpatient, observation, emergency medicine, or same-day surgery coding if following the experience pathway.

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

• A combination of education and experience may be considered as a substitute.

• Proficient in accurately assigning ICD-10-CM/PCS and HCPCS/CPT codes.

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

• Competent in using coding and abstracting systems, MS-DRG, APR-DRG, and APC grouper methodologies.

• Capable of meeting productivity and accuracy metrics.

• Ability to produce timely, precise, and concise productivity reports.

• Skilled in identifying discrepancies in patient records, documentation, accounts, and encounters.

• Capable of supporting coding system testing, report reconciliation, and revenue cycle activities.

🏝️ Benefits

• Flexible scheduling and support for work/life balance.

• Provision of necessary equipment.

• Access to coding books.

• Continuing education credits.

• Memberships to professional organizations such as AHIMA or APC.

• Comprehensive Medical, Dental, Vision, and Life Insurance coverage.

• 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.

• Financial coaching services.

• Fitness and wellness reimbursement options.

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

• Employee assistance program.