Coder/Abstractor Clerk I

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Department:

Health Information Management

Works under the direction of the HIM Director/Coding Compliance Manager.  Performs ICD-10 HCPCS coding, data abstracting and computer data entry on all inpatient and outpatient medical records.  Performs other duties as assigned.

• Demonstrates competency with accurate and compliant coding utilizing ICD-10 and HCPCS classification using established governing guidelines for complete reporting of  conditions and services rendered.

• Thoroughly reviews chart to ascertain all appropriate diagnosis/procedures, if there is a question regarding the diagnoses/code, refers chart to Coding Compliance Manager.

•  Queries providers for clarification of non-specific diagnoses/procedures.

• Utilizes computerized coding/abstracting applications.

• Codes all diagnoses/procedures in accordance to ICD-10 and HCPCS coding principals and established  coding guidelines.

• Assists physicians in proper record completion, including sequencing for appropriate reimbursement.

• Performs computer data analysis, identifies of potential Patient Safety Indicators, and hospital focused process improvement initiatives.

• Attends workshops, seminars and in services to maintain current knowledge and certifications.

•  Stays current on published guidelines such as Coding Clinics for on-going compliant coding.

•  Works with the Clinical Documentation Specialists to ensure the highest level of specificity and accuracy is documented in the medical record.

• Maintains code assignments to meet hospital timely billing standards.

• Performs other duties as assigned.

Education: A minimum of a high school diploma or GED required. Licensure:

• Coder I & II – CCA/CCPS required. New hires/transfers must be eligible for AHIMA CCA/CCPS certification within one (1) year from date of hire/transfer.

• Coder III – CCS required. New hires/transfers must be eligible for AHIMA CCS certification within one (1) year from date of hire/transfer.

• Coder III – Certified – CCS required.

Experience: Must prove understanding of medical terminology via a pre-employment test in addition to the experience listed below.

• Coder I: Entry level training position.  Basic ICD-10/HCPCS knowledge, codes outpatient/ER primarily with some exposure to outpatient clinical, surgical and observation encounters. 

• Coder II:  Demonstrates competency in intermediate ICD-10/HCPCS code assignment.  At least 6 months coding experience in an acute care hospital. 

• Coder III: A minimum of at least 2 years inpatient coding experience in an acute care hospital with DRG/APC assignment experience. 

• Coder III-Certified:  A minimum of at least 2 years inpatient coding experience in an acute care hospital with DRG/APC assignment experience. 

The hourly rate for this position is $35.02 - $42.15. The range displayed on this job posting reflects the target for new hire salaries for this position.

Job Specifications:

Union: NUHW

Work Shift: Day Shift

FTE: 1.0

Scheduled Hours: 40

If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!