HIM Coder - Medical Records - PRN

Position Status:

Shift:

Other (United States of America)

Hours per week:

0

Job Information
Exemption Status: Non-Exempt

A Brief Overview
Reviews medical record documentation for assigning accurate ICD-10-CM diagnosis, procedure and CPT codes and chart abstracting for hospital related services, including "dual" medical coding, also known as Single Path Coding, for various specialties.

Education Qualifications

• High School Diploma / GED Required

Experience Qualifications

• 2 years Coding experience. Preferred

Skills and Abilities

• Knowledge of medical terminology. (Required proficiency)
• Knowledge of coding and regulatory guidelines. (Required proficiency)

Licenses and Certifications

• Registered Health Information Administrator (RHIA) - AHIMA Required or
• Registered Health Information Technician (RHIT) - AHIMA Required or
• Certified Coding Specialist - CCS Required or
• Certified Professional Coder - AAPC CPC also accepted. Required
• Certified Coding Associate - AHIMA CCA also accepted Required

What you will do

• Selects and assigns appropriate ICD-10-CM diagnosis, procedure and CPT codes utilizing encoding system and application following coding guidelines.
• Ensures appropriate MS-DRG/APR DRG is assigned.
• Utilizes Electronic Medical Record (EMR) to identify and enter key administrative and clinical data elements into discrete fields within the EHR.
• Comply with all legal requirements regarding coding guidelines and policies.
• Proficient with medical necessity documentation guidelines.
• Complies with payer specific guidelines for appropriate code assignment.
• Works coding queues as assigned by manager or designee.
• Collaborates with Clinical Documentation Improvement (CDI) team for clinical expertise and query opportunities.
• Submit coding queries to physicians for medical record documentation clarification.
• Converse with providers or other health care professionals on coding and/or billing practices, if needed.
• Works professionally, independently and completes assignments in a timely manner.
• Meets coding productivity and accuracy standards.
• Participates at coding and department meetings/huddles.
• Participates at CDI/Coding and other educational sessions.
• Attends All Employee Meetings.
• Continually self-educates on current coding guidelines and regulatory changes utilizing electronic reference material.

Required for All Jobs

• Complies with all policies, standards, mandatory training and requirements of Stormont Vail Health
• Performs other duties as assigned

Patient Facing Options

• Position is Not Patient Facing

Remote Work Guidelines

• Workspace is a quiet and distraction-free allowing the ability to comply with all security and privacy standards.
• Stable access to electricity and a minimum of 25mb upload and internet speed.
• Dedicate full attention to the job duties and communication with others during working hours.
• Adhere to break and attendance schedules agreed upon with supervisor.
• Abide by Stormont Vail’s Remote Worker Policy and will review and acknowledge the Remote Work Agreement annually.

Remote Work Capability

• Hybrid

Scope

• No Supervisory Responsibility
• 
  
• No Budget Responsibility No Budget Responsibility

Physical Demands

• Balancing: Occasionally 1-3 Hours
• Carrying: Rarely less than 1 hour
• Climbing (Stairs): Rarely less than 1 hour
• Crawling: Rarely less than 1 hour
• Crouching: Rarely less than 1 hour
• Eye/Hand/Foot Coordination: Continuously greater than 5 hours
• Feeling: Continuously greater than 5 hours
• Grasping (Fine Motor): Continuously greater than 5 hours
• Grasping (Gross Hand): Continuously greater than 5 hours
• Handling: Continuously greater than 5 hours
• Hearing: Occasionally 1-3 Hours
• Kneeling: Rarely less than 1 hour
• Lifting: Rarely less than 1 hour up to 10 lbs
• Operate Foot Controls: Rarely less than 1 hour
• Pulling: Rarely less than 1 hour up to 10 lbs
• Pushing: Rarely less than 1 hour up to 10 lbs
• Reaching (Forward): Occasionally 1-3 Hours up to 10 lbs
• Reaching (Overhead): Rarely less than 1 hour up to 10 lbs
• Repetitive Motions: Continuously greater than 5 hours
• Sitting: Continuously greater than 5 hours
• Stand