HIM Coder II - Remote
Provides timely and accurate administrative and clinical data through the accurate assignment of current ICD -10-CM and ICD-10-PCS codes while complying with the regulations and requirements of the Federal Government, State licensing agencies and the Hospital’s policies and procedures. Supports TMCH’s management planning process and ensures appropriate reimbursement for inpatient services.
Assigns the correct ICD -10-CM and ICD-10-PCS code to each diagnosis and operative procedure substantiated by documentation contained in the medical record.
Responsible for accurately coding inpatient record types.
Follows departmental and current official ICD -10-CM and ICD-10-PCS coding guidelines to ensure consistent and accurate coding of diagnostic and procedural data.
Utilizes the 3M 360 , CAC (Computer Assisted Coding), Epic, and any other necessary applications for proper coding, ensuring accuracy.
Ensures that the medical staff documents have sufficient information for accurate coding and appropriate reimbursement, requesting clarification from the provider when information is incomplete. Assists physicians, their office staff, quality management and other hospital personnel with coding and DRG questions.
Determines the sequence of diagnoses according to UHDDS (Uniform Hospital Discharge Data Set) standards.
Inputs abstract data and codes into computer to gather administrative and clinical data for distribution to outside regulatory agencies, third party payers, administrative staff and physicians.
Ensures that institutional policies and procedures for maintenance of medical records are followed. Maintains current knowledge of coding principles and guidelines as coding conventions are updated.
Maintains a 95% coding accuracy rate.
Achieves weekly utilization productivity of 95% of standard
Reviews charts that have been returned by payers for DRG challenges.
Adheres to TMC organizational and department-specific safety, confidentiality, values, policies and standards.
Performs related duties as assigned.
EDUCATION: Completion of a 2-year college or technical school curriculum in Health Information Management, or an equivalent combination of relevant education and experience. Preferred is the completion of a 4-year college curriculum in Health Information Management.
EXPERIENCE: Demonstrated knowledge of current ICD -10-CM and ICD-10-PCS. Two (2) years of related medical coding experience in an acute care hospital setting.
LICENSURE OR CERTIFICATION: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist ( CCS), Certified Coding Specialist-Physician-based (CCS-P), Certified Professional Coder (CPC), Certified Inpatient Coder (CIC) or Certified Outpatient Coder (COC).
Job Status: Full Time
Job Reference #: 26038