Coder – Health Information Management

Coder – Health Information Management

JOB TITLE: Coder    |    DEPARTMENT: Health Information Management

Under general supervision and according to established policies and procedures, assigns diagnostic, procedural, & E&M codes to patient medical record. Codes charts under the ICDCM, PCS and HCPCS Systems related to patient’s visit in order provide statistical, payment and DRG assignments. Abstracts required data into hospital abstracting system and assigns codes and charges based on documentation. Responsible for accurate charge capture and coding to support timely billing and hospital reimbursement. Coder must work in a self-directed, team environment, to keep revenue cycle performance current.

Minimum Education

  • Equivalent to an associate’s degree in medical information technology (with college level courses in anatomy, physiology, medical terminology, ICDCM coding, and prospective payment) required or equivalent combination of education and experience.
  • College level course in Anatomy & Physiology required.
  • Evidence of successful complete of basic coding coursework (i.e. AHIMA, AAPC, college, etc.)

Minimum Work Experience

  • 6 months of experience preferred.
  • Experience with electronic health record preferred.
  • Eligible for designation as a CCS-P or CCS preferred.
  • Recent health information, ER or hospital financial background preferred.  

Required Skills, Knowledge, and Abilities

  • Excellent oral and written communication skills
  • Demonstrate moderate knowledge of basic computer skills.
  • Demonstrate strong knowledge of Medical Terminology.

ADDITIONAL JOB REQUIREMENTS (LEVEL II)

  • 3+ years’ experience as a coder, assigning codes.
  • AAPC, CCS or CCS-P certification required.
  • Excellent oral and written communications.
  • Demonstrate strong knowledge of basic computer skills.

ADDITIONAL JOB REQUIREMENTS (LEVEL III)

  • Bachelor’s Degree in a healthcare related field (with college level courses in anatomy, physiology, medical terminology, ICD-10-CM coding, and prospective payment), or equivalent combination of education and experience.
  • 5 years’ experience of coding involving progression to roles of expanded coding responsibilities and use of EHR.
  • Additional Certification through AAPC or AHIMA

Required Skills, Knowledge, and Abilities

  • Strong Microsoft Windows desktop application and navigation skills.
  • Ability to manage multiple priorities and assignments.
  • Ability to facilitate workflow and education activities independently.
  • Working knowledge of EHR systems.
  • Strong attention to detail and analytical skills.

STATUS: 40 hours    |  SHIFT: (8:00 AM – 4:30 PM)

SCHEDULE: This position qualifies for a hybrid work schedule, once training is completed.

PAY RATE: Compensation is commensurate with educational background and relevant professional experience.

Coder I  $23.15 – $26.15  / HOUR
Coder II $24.38 – $27.38  / HOUR
Coder III $25.60 – $28.60  / HOUR

Health Information Management Inpatient Coder

Description:  The purpose of this job is to code and abstract inpatient, observation and clinic records utilizing the proper assignment of ICD-10-CM and CPT-4 coding.  Monitors quality of documentation.

  • Possess a high school diploma or equivalent.
  • Possess a minimum of three (3) years experience, ICD-10 and CPT-4 coding in an acute care facility coding inpatient, ambulatory surgery or emergency room records if not RHIT, RHIA, CCS or other hospital coding credentialed.
  • Possess one (1) year experience in coding ER, inpatient or Day surgery records in an acute care facility if RHIT, RHIA, CCS or other hospital coding credentialed.
  • Possess successful completion of courses in Anatomy/Physiology, medical terminology and ICD-10 and CPT coding.
  • Prefer an Associate’s Degree in Health Information Technology; professional designation as a RHIT, RHIA or CCS.
  • Prefer three (3) years experience in ICD-10 and CPT-4 coding in an acute care facility if credentialed.
  • Prefer five (5) years experience in ICD-10 coding in an acute care facility if not credentialed.

Status:  Varied day shift hours (40 hours) – Hybrid Work Option Available.