Health Information Management HIM Coder - Inpatient
Health Information Management HIM Coder - Inpatient
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Job Description
The Health Information Management (HIM) Coder is responsible for coding discharged patient encounters which may include inpatient observation skilled nursing behavioral health emergency room surgical ancillary or clinics. Duties may include abstracting and charge verification.
Duties will also include:
Performs coding and abstracting of records as assigned (inpatient or outpatient)
May assist providers with documentation/coding questions
May work in collaboration with Clinical Documentation Improvement nurses (inpatient)
May assist Business Office with coding denials corrections of various types
Utilizes computer software systems/encoder for DRG/APC assignment and attestation
Completes CCTs as necessary for appropriate provider clarification (inpatient and outpatient)
Shifts job assignment as requested based on daily metrics (inpatient to outpatient or vice versa)
Maintains coding knowledge and certifications
Maintains working knowledge of Medicare rules and regs (LMRPs NDCs and CCI edits)
Performs peer reviews as requested
Monitors encounters for completeness correct patient missing charges disposition etc.
Understands importance coding plays in the revenue cycle process
Meets or exceeds coding productivity and quality standards
Cross trains for other encounter types as requested for needs of organization
Assists with training new hires as necessary
Assists with DRG appeals as necessary
Monitors coding lists for incomplete/aging/ problem encounters and assists with resolution
Assists Coding Manager with identifying problems or trends that need immediate attention
Reports technology challenges to Help Desk or Coding Manager immediately
Covers duties of others while they are off work
Adheres to all department and hospital policies and procedures
Performs other duties or special projects as assigned
EDUCATION TRAINING EXPERIENCE CERTIFICATION AND LICENSURE:
High School diploma required. Associates or bachelors degree preferred. Registered Health Information Administrator (RHIA) Registered Health Information Technician (RHIT) Certified Coding Specialist (CCS) Certified Coding Associate (CCA) or Certified Professional Coder (CPC) required.
KNOWLEDGE AND SKILLS REQUIRED:
Must possess critical thinking and analytical skills. Knowledgeable in medical terminology anatomy and physiology ICD10 and PCS coding guidelines CPT HCPCS and basic coding principles according to whether assigned to inpatient or outpatient duties.
About Rome Health
Rome Health is a nonprofit health care system based in Rome N.Y. providing services to patients throughout Central New York. From primary and specialty care to longterm care Rome Health delivers quality compassionate medical care for every stage of life. We are a comprehensive health care system that connects you to the best clinicians and the latest technologies so they are easily accessible to you and your family. Rome Health is an affiliate of St. Josephs Health and an affiliated clinical site of New York Medical College. The best care out there. Here.
Employment Type
Full-Time
