HCC Coder, CRC

This is a fully remote position, open to applicants in New Mexico.

📋 Description

• Perform coding for inpatient and/or outpatient hospital records, emergency department records, home health & hospice records, and/or professional fee services for purposes of reimbursement, research, and compliance with Federal regulations.

• Evaluate existing medical records and assign CPT, ICD, and MS-DRG codes in accordance with UHDDS, CMS, Federal Regulations, as well as hospital and departmental policies.

• Extract data for the Quality Improvement department and supply information to The Joint Commission.

• Investigate medical records across various computer systems to ensure timely coding completion.

• Identify any missing documents, confirm that all encounters are coded, and produce necessary queries.

• Address pre-bill edits, denials, and other concerns related to assigned accounts.

• Keep updated and share current technical, legal, regulatory, and coding knowledge, including updates on ICD-9/10-CM, CPT-4, HCPCS, DRG, APC, and/or HHRG.

• Engage in departmental in-services and updates.

• Report issues to the Clinical Coding Manager and Supervisor of EW.

• Achieve and maintain a minimum accuracy rate of 95% and an average-to-high productivity level as per PHS standards.

⛳️ Requirements

• A high school diploma or GED is required.

• At the time of hire, candidates must possess one of the following coding certifications: HCS-D, CCS, CCS-P, CPC-H, CPC, or RHIT/RHIA, with the expectation to obtain one of the aforementioned coding credentials within one year of employment.

• One to three years of experience in coding is required.

• Proficiency in computer applications, including Word, Excel, and PowerPoint.

• Capability to utilize the internet and other electronic resources for research purposes.

• Experience with an encoder is preferred.

• Familiarity with Electronic Medical Records (EMR) is preferred.

• Continuation of education (CE) requirements must be maintained in accordance with PHS policy.

🏝️ Benefits

• Medical, dental, and vision insurance.

• Short-term and long-term disability insurance.

• Group term life insurance.

• Optional voluntary benefits.

• Employee wellness rewards program offering gift cards and additional incentives.

• Participation in wellness activities, including challenges, webinars, and preventive screenings.