Coder II

Hunt Regional HealthcareGreenville, TX
2dRemote

About The Position

This position is responsible for accurately coding accounts from at least one main outpatient work type (Observation, Same Day Surgery, and/or ER) as well as assisting with the coding of other outpatient work types as needed. All accounts should be completed within three (3) days following discharge.

Requirements

  • Completion of college level course work in Medical Terminology and Anatomy and Physiology.
  • Required: A minimum of two (2) years coding experience in an acute care hospital.
  • CCA credentials (Certified Coding Associate) or CPC credentials (Certified Professional Coder)
  • Completion of college level course work in Medical Terminology and Anatomy and Physiology.
  • Will work remotely from home; must reside in the state of Texas.
  • Must be able to work in a virtual setting.
  • Primarily sedentary work reviewing records and keying information using a computer monitor and keyboard.
  • Quiet surrounding with adequate lighting.

Nice To Haves

  • CCS credentials (Certified Coding Specialist -- Hospital based)
  • RHIT or RHIA credentials
  • Minimum education level of Associates Degree.

Responsibilities

  • Demonstrates an understanding of and adherence to the HMHD Compliance Plan.
  • Conduct reflects HMHD's values and a commitment to HMHD's Code of Conduct.
  • Attends the required corporate integrity and compliance training and education programs.
  • Demonstrates proficiency in understanding the materials presented during the corporate integrity and compliance training and education program.
  • Complies with all HIPAA standards.
  • Consistently meets monthly productivity expectations.
  • Responsible for final coding of outpatient accounts (Observation, Same Day Surgery and/or Emergency Department) with an average turnaround time of three (3) business days.
  • Responsible for accurately assigning ICD-10-CM and applicable CPT codes based on information provided in the patient record, while maintaining an overall coding accuracy rate of 95% or greater.
  • Responsible for responding to any audited accounts within three (3) business days of receipt.
  • For ER accounts, responsible for capturing procedure charges as applicable.
  • For observation accounts, responsible for capturing ER E/M level charges, applicable procedure charges, injections/infusions charges, and observation hour charges for patients that are admitted to observation.
  • Works with Clinical Documentation Improvement (CDI) to prompt medical staff physicians for additional documentation as needed to clarify correct assignment of ICD-10-CM diagnosis and CPT procedure code assignment.
  • Responsible for responding to Patient Financial Services (PFS) questions regarding coding assignments that generate errors within the billing editor within three (3) business days of receipt.
  • Responsible for completing continuing education requirements to maintain coding credential. Must obtain a minimum of ten (10) continuing education units per year.
  • Assists with other special projects as requested by the HIM Coding Manager and/or the HIM Department Director.
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