PRN IP Facility PCS/ICD Coder

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

📋 Description

• Conducts a thorough review of patients' complete medical records, assigning the appropriate codes such as CPT, ICD, and MS-DRG in compliance with UHDDS guidelines and CMS, which are essential for financial reimbursement and research in line with Federal Regulations and Hospital and Departmental policies.

• Extracts critical data necessary for the Quality Improvement department to identify patient care issues and provide information to The Joint Commission.

• Utilizes various computer systems to access and research medical records as required to ensure timely coding completion. Takes charge of accounts receivable by searching for missing documents to ensure all encounters are accurately coded, including the generation of relevant queries when necessary.

• Responsible for addressing any pre-bill edits, denials, and other issues for assigned accounts.

• Keeps abreast of and shares updated technical knowledge regarding legal and regulatory information across all relevant jurisdictions related to the business area, including but not limited to updates and changes in ICD-9/10 CM, CPT-4, HCPCS, DRG, APC, and/or HHRG.

• Engages in all departmental in-services and updates to remain current with accepted coding guidelines and enhance personal understanding of medicine and treatment.

• Communicates relevant issues to the EW Clinical Coding Manager and Supervisor when appropriate.

• Must exhibit proficiency in coding across multiple service areas and/or specialties.

• Achieves and maintains an accuracy rate of at least 95%.

• Upholds average to high productivity levels according to PHS Productivity Standards.

• Adheres to continuing education (CE) requirements as per PHS policy.

⛳️ Requirements

• A high school diploma or GED is required.

• Must possess one of the following coding certifications upon hiring: HCS-D, CCS, CCS-P, CPC-H, CPC, or RHIT/RHIA, with the expectation of obtaining one of the aforementioned coding credentials within one year of hire.

• A minimum of one to three years of experience as a coder is required.

• Proficient computer skills are essential, including but not limited to Word, Excel, and PowerPoint.

• Experience with an encoder is preferred.

• Familiarity with an Electronic Medical Record system is preferred.

• Must be capable of utilizing the internet and other electronic resources for research purposes.

🏝️ Benefits

• Medical

• Dental

• Vision

• Short-term and long-term disability

• Group term life insurance

• Additional optional voluntary benefits

• Wellness program