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Jennie Stuart Health

Experience Makes the Difference

Health Information Management *REMOTE* Coder III- FULL TIME




Category

HIMs and Health Informatics

Job Location

320 W. 18th St. Hopkinsville, Kentucky

Tracking Code

8700-17,18,19

Position Type

Full-Time/Regular

Mandatory COVID-19 guideline:

As of March 15th, 2022, all onsite JSH employees must have received the necessary doses to complete the COVID-19 vaccine series (i.e., one dose of a single-dose vaccine or all doses of a multiple vaccine series) or have been granted a qualifying exemption, or are identified as having a temporary delay as recommended by the CDC. New hires also will be required to comply with this requirement before working onsite at any JSH facility.

 

Job Summary:

  

Coder III

 

The Coder III is responsible for addressing appeals to insurance companies, and coding highly complex medical records, including all diagnoses, operative and diagnostic procedures in patient medical records, using the current International Classification of Diseases (ICD), Current Procedural Terminology (CPT) and Health Care Common Procedures Coding System (HCPCS) and entering coded information into an automated grouper system.  The Coder III will abide by the Standards of Ethical Coding as set forth by AHIMA.  Abstracting required clinical information from the medical record.

 

The Coder III reflects the mission, vision, and values of JSH, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards

 

Essential Functions:

  • Assign codes for diagnoses, treatments, ancillary services, and procedures according to the appropriate classification system for inpatient and/or outpatient encounters.
  • Demonstrate extensive knowledge of coding conventions, rules and regulations for multiple classification systems to ensure optimal reimbursement.
  • Meet defined coding accuracy and production standards and demonstrate a thorough knowledge of coding guidelines, medical terminology, anatomy/physiology, reimbursement schemes, and Payor specific guidelines.
  • Notify coding leadership of trends and topics for education and feedback to physicians and departments.
  • Knowledge of types of health information and the rules and regulations surrounding their use.
  • Advanced understanding of coding grouping methodologies.
  • Contact physicians and other health care professionals when needed or formulate appropriate physician queries for clarification about treatments or diagnostic tests given to patients to support accurate code assignment and sequencing.
  • Extract required information from source documentation and enter into encoder and abstracting system.
  • Abide by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA), adhere to ICD-10-CM Official Guidelines for Coding and Reporting, AHA Coding Clinic, and ACDIS/AHIMA Guidelines for Achieving a Compliant Query Practice.
  • Review daily pre-bill edits and coding errors to make corrections or complete missing data elements.
  • Resolve error reports associated with billing process, identify and report error patterns and, when necessary, assist in design and implementation of workflow changes to reduce billing errors.
  • Work collaboratively to ensure the most accurate and complete documentation to support accurate code assignment.
  • Attend continuing education workshops, webinars, etc., for coding compliance and maintenance of CEUs.
  • Verify data and discharge disposition to assure coding compliance.
  • Validate documentation supports the charges prior to coding completion.

Required Skills

The Coder III will be responsible for:

  • Maintenance of confidential information encountered in every task associated with this job
  • Compliance with ICD-10-CM Official Guidelines for Coding and Reporting, Coding Clinic, as well as any governmental coding regulations
  • Coding knowledge of multiple specialties including but not limited to ER, Same Day Surgery, Observation, Obstetrics, Behavioral Health, Wound Healing, Chemo Infusions and Radiation Oncology
  • Working with other Coding team members to meet DNFB benchmarks
  • Consistently meet productivity and quality (95%) benchmarks

 

Qualifications:

  • An Associate’s degree in Medical Record Technology/Health Information field or completion of a coding certificate program from an AHIMA or CAHIIM accredited school
  • Registered Health Information Management Administrator (RHIA), Registered Health Information Management Technician (RHIT), and/or Certified Coding Specialist (CCS). 
  • Outpatient and acute care hospital coding experience
  • Must possess in-depth knowledge of ICD-10-CM coding classifications, billing requirements
  • Must be knowledgeable of encoding software
  • Knowledge of specific coding guidelines and Coding Clinic guidelines. Demonstrates proficiency in the use of computerized information systems.
  • Demonstrates proficiency with 3M encoder, CAC (computer assisted coder) and APC grouper applications
  • Candidate must demonstrate coding proficiency by scoring a 75% or higher on a coding assessment
  • Ability to work independently and collaborative with members of the health care team
  • Able to demonstrate effective interpersonal and communication skills to promote cooperation from health care team, providers, payers, patients and their families

This position is located at 320 W. 18th St., Hopkinsville, KY. View the Google Map in full screen.



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