Job Description

HIM Coder III - Remote
Job CategoryClerical
ScheduleFull time
Shift1 - Day Shift

SUMMARY:

Provides timely and accurate administrative and clinical data through the accurate assignment of the current ICD-10-CM, PCS and CPT 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 and outpatient services.

ESSENTIAL FUNCTIONS:

Assigns the correct ICD-CM, PCS and CPT code to each diagnosis and operative procedure substantiated by documentation contained in the medical record.

Responsible for accurately coding both outpatient and inpatient record types. Follows departmental and current official ICD-CM, PCS and CPT 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/APC 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 average weekly utilization productivity of 95% of standard.

Adheres to TMC organizational and department-specific safety, confidentiality, values, policies and standards.

Performs related duties as assigned.

MINIMUM QUALIFICATIONS

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, ICD-10-PCS, and CPT coding. Five (5) 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).

 

Application Instructions

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