CODER​/CRED LVL II

Your Career. Our Company. Together, We Grow.

At Southern Illinois Healthcare (SIH), we realize that in order to provide our surrounding communities with excellent care, we must begin by providing our employees with that same care and appreciation. We offer rich opportunities to develop and grow professionally, an environment of excellence in patient care, and the awareness that everything we accomplish is a direct outgrowth of the superb efforts and dedication of our employees.

As a non-profit system of almost 4000 employees, we have won national acclaim for our cancer, cardiac, stroke, bariatric, breast imaging, and rehabilitation services.

Reviews provider documentation and revises and/or assigns ICD-10-CM codes and CPT/HCPCS codes as appropriate, based on official coding guidelines. Researches and takes appropriate action on any coding/claim edits. Coding focus is provider based E&M level visits or outpatient hospital based ancillary visits.

Role Specific Responsibilities

• Follows all coding policies, procedures, standard operating procedures.
• Effectively uses encoding software and reference materials to assign appropriate codes.
• Provider driven coding:
  Reviews and accepts or revises code selection based upon documentation and coding guidelines.
• Non – provider driven coding:
  Reviews provider documentation and assigns appropriate codes based upon coding guidelines.
• Reviews coding edits and accurately resolves so encounter can be sent to claims.
• Sends clear, respectful communications to provider inbasket or queries when additional information is needed before finalizing coding.
• Identifies and communicates to Coding Lead/Supervisor/Manager any issues related to documentation, coding or systems that may impact quality, compliance, or productivity.
• Performs work queue duties as assigned by Coding Lead/Supervisor.
• Maintains coding quality and productivity standards.
• Actively engages and makes meaningful contributions when participating in performance improvement initiatives, department meetings and other meetings as required.
• Maintains required CEUs.

Education

• High School Diploma required. Preferred Associate or Bachelor Degree in Health Information or a healthcare related discipline.

Licenses and Certification

• RHIA, RHIT, CCS, CCS-P, CCA, or CPC required.

Experience and Skills

• Technical
  
  Experience:
• Required for CCS-P, CCA, or CPC - 1 year (2000 continuous working hours).
• COVID Vaccination required.