Hospital Coder

Hospital Coder

Requirements

• High School Diploma/G.E.D. – required
• Coding certification / credential through AHIMA or AAPC and be in good standing. – required
• Excellent computer skills, navigating multiple systems at once, troubleshooting. (High proficiency)
• Must be able to work independently as position is fully remote. Maintain a remote coding work area that protects confidential health information. (High proficiency)
• Excellent written and verbal communication skills. (High proficiency)
• Knowledge of ICD-10-CM, and ICD-10-PCS or CPT-4 Coding classification system, depending on the position being hired for. (High proficiency)
• Detail-oriented and efficient while maintaining productivity.
• Applicants must receive a score of 80% or above on assessment. Will consider new coders with a higher assessment score. (High proficiency)

Responsibilities

• Use a computerized encoding system to facilitate accurate coding.
• Sequence diagnoses and procedures by following the ICD-10-CM/PCS, CPT4, Uniform Hospital Discharge Data Set (UHDDS), Medicare, Medicaid and other fiscal intermediary guidelines.
• Support the reporting of healthcare data elements (e.g. diagnoses and procedure codes, hospital acquired conditions, patient safety indicators) required for external reporting purposes (e.g. reimbursement, value based purchasing initiatives and other administrative uses, population health, quality and patient safety measurement, and research) completely and accurately, in accordance with regulatory and documentation standards and requirements, as well as all applicable official coding conventions, rules, and guidelines.
• Query the provider (physician or other qualified healthcare practitioner), whether verbal or written, for clarification and/or additional documentation when there is conflicting, incomplete, or ambiguous information in the health record regarding a significant reportable condition or procedure or other reportable data element dependent on health record documentation (e.g. present on admission indicators).
• Demonstrate behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities.
• Utilizes official coding rules and guidelines apply the most accurate coding to represent that patient services on the hospital claim.
• Comply with comprehensive internal coding policies and procedures that are consistent with requirements.
• Attends coding meetings and roundtable sessions.
• Participates in daily huddles and LEAN problem-solving activities.
• Focused with no distractions while working and participating in meetings.
• Ensures camera on while attending Teams calls.
• Assists with organizing the shared drive for the medical coding department.
• Other duties as assigned by manager.

Preferred Qualifications

• Prior experience in hospital medical coding – preferred
• Prior experience with 3M 360 and EPIC system – preferred