Coder I (Remote)

Overview

At Augusta Health your work matters and so do you. Whether youre delivering direct patient care supporting operations or innovating behind the scenes every role contributes to our mission of promoting wellness and healing through compassionate service. We offer more than just a job we offer a purpose-driven career in a nationally recognized independent health system located in Virginias scenic Shenandoah Valley.

Learn more about career opportunities on our Careers Page.

Our team members thrive in a supportive culture that values collaboration integrity and excellence. With opportunities across clinical and non-clinical areas Augusta Health is a place where your skills make a difference and your growth is a priority.

Why Join Augusta Health

We believe in taking care of the people who care for our community. Thats why Augusta Health offers a comprehensive and thoughtfully designed benefits package that supports your well-being career development and work-life balance. Whether youre launching your career or bringing in years of experience we provide the tools resources and encouragement to help empower you to reach your full potential personally professionally and financially.

Explore our Benefits current Hiring Incentives and our Taking Care of Us initiative which embraces Belonging Respect Inclusion Diversity Growth and Equity (B.R.I.D.G.E.) to see how we invest in our team members and culture.

Total Rewards & Benefits (may vary by position)

• Comprehensive insurance package including medical dental and vision coverage
• Retirement savings plans and financial wellness support programs
• Generous paid time off and flexible scheduling to promote work-life balance
• Career development programs including clinical ladders shared governance and advancement opportunities
• Personalized onboarding with dedicated preceptors and ongoing educational support
• Tuition reimbursement and access to onsite childcare
• Free onsite parking 24/7-armed security for your safety a Health Fitness Reimbursement Program and an onsite credit union and pharmacy
• Competitive pay with shift/weekend differentials
• Employee discounts at the cafeteria gift shop pharmacy and local entertainment venues (i.e. movie tickets)

Full details are available on our Benefits Page.

Job Summary

This position plays a critical role in supporting Augusta Healths mission and advancing departmental goals through measurable performance indicators and service excellence. This position contributes to a collaborative patient-centered environment and helps drive outcomes aligned with organizational priorities.

Under the direction of the Health Information Management Director and the Coding Manager follows all regulatory guidelines in the reporting and sequencing of ICD-10-CM HCPCS and HCPCS Level II CPT codes. Generates coding queries to physicians to clarify patient condition(s) when conflicting or ambiguous information is reflected in the patient record. Understands their role in quality performance measures and serves as a resource to the Business Office in the reconciliation and resolution of problematic accounts.

This is a fully remote opportunity.

Essential Job Duties

• Accurately enter ABS data (e.g. Surgeon name procedure date discharge disposition admit diagnosis POA status etc.)
  • 95% Accuracy
• Meets or exceeds bill drop dates/AR expectations
  • Consistently monitors and manages AR to facilitate dropping of pending old or problematic accounts of assigned locations in accordance with 30-Day Bill Drop policy.
  • Consistently meets established bill drop dates.
  • Percentage of weeks in which bill drop dates are met:
  • 90% of the time
• Accurately reports principal diagnosis in keeping with the most current AHA Coding Clinic and ICD-10-CM/ICD-10CM guidelines.
  • 95% Accuracy
• Manages NCCI and OPPS edits in compliance with industry regulations.
  • Appends modifiers to charges when appropriate.
  • Notifies Business Office and corresponding ancillary department when charges should be removed or added.
  • Identifies and reports to supervisor recurring charge issues that can be addressed with ancillary department managers.
• Manages Queries Appropriately
  • Generates appropriate query selection based on clinical evidence established in the patient medical record.
  • Formats non-standardized queries in keeping with AHA Coding Clinic CMS and QIO guidelines.
  • Utilizes standardized query templates when available.
• Maintains established Productivity Standards
  • Emergency Room: 12 accounts per hour.
  • Ancillary encounters: 30 accounts per hour
• Meets or exceeds the expected DRG/APC accuracy rate of 95%
  • Diagnosis and procedural codes applied to accounts result in the appropriate DRG or APC assignment(s)
• Accurately reports procedure codes
  • All ICD-10-CM and CPT procedure codes are accurately coded and reported in keeping with AHA Coding Clinic CPT Assistant ICD-10-CM CPT-4 and/or unique payer coding and reporting guidelines.
  • 95% Accuracy
• Submits Productive/Non-Productive variation report with established timeframe.
  • due on Mondays following the end of each pay period with a 3-day grace period
• Accurately reports secondary diagnoses in keeping with the most current AHA Coding Clinic and ICD-10-CM/ICD-10-CM guidelines.
• Outpatient:
  • 95% Accuracy

Required Qualifications

• Education: High School Diploma or GED equivalent
• Licensure/Certification: CCS or CPC
• Experience: Outpatient Coder - Coding Certification
• Drivers License: N/A
• Eligibility to work in the United States and meet Virginia state employment requirements

Preferred Qualifications

• Education: Accredited Coding Program
• Licensure/Certification:
  • CCS RHIT RHIA
  • CCA COC CIC CPA-A
• Experience:
  • One Year
• Prior experience in a hospital healthcare system or related service-oriented environment
• Familiarity with Augusta Healths systems workflows or organizational culture is a plus

Competencies Knowledge Skills and Abilities

• Requires good written oral communication and interpersonal skills. ability to effectively communicate with all hospital practitioners is essential.
• Demonstrates competency in the use of computer applications and grouper software Medicare edits and all coding and abstracting software and hardware currently in use by HIM.
• Requires comprehensive knowledge of anatomy and physiology medical terminology and disease processes.
• Requires analytical ability to allow for interpretation of clinical data in all clinical specialties to determine appropriate code assignment.
• Requires proficiency in abstracting chart data into computer module
• Requires ability to work independently an eagerness to learn attention to detail and good critical thinking skills.
• Must possess high ethical standards due to confidential nature of patient information.

About Augusta Health

Augusta Health is an independent nonprofit mission-driven health system located in Fishersville Virginia in the heart of the Shenandoah Valley. We offer a full continuum of inpatient and outpatient services including Augusta Medical Centera 255-bed facilityand Augusta Medical Group which operates 40 practice locations and four urgent care centers. Our commitment to excellence innovation and compassionate care makes Augusta Health a leading employer and healthcare provider in the region.

Discover more about our history values and community impact on our About Us Page.

Equal Opportunity Statement

Augusta Health recruits hires and promotes qualified candidates for employment without regard to age color disability gender identity or expression marital status national or ethnic origin political affiliation race religion sex (including pregnancy) sexual orientation veteran or military discharge status and family medical or genetic information.

We are committed to fostering a diverse and inclusive workplace in accordance with federal and Virginia state employment laws.

Required Experience:

IC