Coder

The Coder II position is responsible for accurate, coding, abstracting, claims filing, documentation review and claims denial processing working from the appropriate documentation in the medical record. The Coder must stay up to date on code changes and coding guidelines to assure quality and code compliance is met at all times. The Coder has additional combined responsibilities of data quality and insurance representative functions working closely with other members of the HIMS department.

Responsibilities

Accurately code, abstract, file claims, review documentation and process claim denials from the medical record; Stay up to date on code changes and coding guidelines to ensure quality and code compliance; Perform data quality and insurance representative functions in close collaboration with the HIMS department; Review inpatient and outpatient medical records to identify principal and secondary diagnoses and procedures; Use computerized encoding systems for accurate coding according to the appropriate classification system; Sequence diagnoses and procedures per ICD-10-CM & ICD-10-PCS, CPT/HCPCS, UHDDS, Medicare, Medicaid and other fiscal intermediary guidelines; Cross-train to assist with backlog in outpatient/ED coding as necessary; Work cooperatively with medical staff and healthcare professionals to obtain documentation for optimal hospital payment and accurate data input; Prepare workload reports and participate in continuous quality improvement studies; Abstract medical data to complete discharge data abstracts for each outpatient; Complete and verify diagnostic, demographic and other information for submission to KHDS; Review, verify and initiate correction processes for data quality review; Participate in medical record documentation auditing to monitor physician compliance with regulatory requirements; Communicate and advise hospital personnel on coding and DRG assignment; Meet established quality and productivity standards; Adhere to hospital and departmental policies, procedures and regulations; Maintain ongoing registration and continuing education for applicable credentials; Perform other related duties as assigned

Requirements

High School Diploma or equivalent; Completion of one of the following: Certificate Coding Associate, Certificate Coding Specialist, Certified Professional Coder, Registered Health Information Technician, Registered Health Information Administrator; 2+ years of prior coding experience; ICD-10 Knowledge; Live within Kansas or Missouri; Ability to concentrate and maintain accuracy despite frequent interruptions; Ability to follow instructions and use sound judgment; Close mental and visual attention to detail; Excellent verbal and written communication skills; Ability to handle frustration and interactions with others in a professional manner; Self-motivation to complete work assignments in a timely, accurate manner; Regular and reliable attendance

Nice to have

Associates or Bachelor's Degree in Health Information Management; 3M Coding Solution Knowledge

Benefits

Join a team that cares about the community; Tuition reimbursement to support continuing education; Professional development and recognition; Excellent benefits; Flexible work-life harmony; Competitive pay; Great advancement potential