HIM Coder Analyst II-REMOTE State of TX

Overview

Location: Medical Center - Fort Worth

Department: HIM-Coding

Shift: First Shift (United States of America)

Standard Weekly

Hours:

40

Summary:

The HIM Coder Analyst II requires advanced knowledge of and skill in applying International Classification of Diseases and Procedures (ICD) code sets and Current Procedural Terminology (CPT) code sets and associated Medicare/Medicaid rules and guidelines. Reviews and interprets patient medical record documentation to identify pertinent diagnoses and procedures and assigns ICD-10-CM and CPT-4 codes accurately and timely to the highest level of specificity based upon physician documentation for ambulatory surgery, special procedure, observation, emergency department, outpatient ancillary and clinic visit records.

Primarily codes complex ambulatory surgery and observation visit medical records. Identifies and abstracts specified information from the patient medical record and enters data into the electronic health record system for billing and use in all types of CCHCS reporting. Assists with coding outpatient ancillary clinic, specialty clinic and emergency room record coding as necessary. Minimum expected accuracy rate for all coding assignments is 95%.

Communicates with physicians and other providers regarding documentation requirements and collaborates with Clinical Documentation Specialists on patient cases regarding documentation needs and requirements, and coding assignment accuracy. Maintains current knowledge of coding and documentation changes, rules and guidelines.

• Identify and code diagnoses and procedures using ICD-10-CM and CPT-4, ensuring highest level of specificity.
• Review and interpret physician documentation for ambulatory surgery, observation, ED, outpatient, and clinic visit records.
• Maintain accuracy rate of coding assignments (minimum 95%).
• Communicate with physicians and other providers regarding documentation requirements.
• Collaborate with Clinical Documentation Specialists on documentation needs and coding accuracy.
• Identify information from medical records for data entry into the electronic health record system for billing and reporting.
• Stay current with coding changes, rules, and guidelines.

• High School Diploma or Equivalent required.
• RHIA, RHIT or CCS with one (1) year minimum current and continuous full-time ICD-10-CM & CPT-4 ambulatory surgery, observation and/or inpatient coding and abstracting experience required.
• Pediatric coding experience highly desired.
• Technically competent and fluent in navigation of electronic health record applications, automated encoders, and other software applications and hardware required for the job role.
• Experience using Microsoft Office Excel and Word highly desired. Ability to work independently with minimal guidance and without direct supervision.
• Highly detail oriented with good organization, interpersonal and communication skills.
• Ability to maintain confidentiality.
• Goal oriented, flexible and energetic.
• Demonstrates coding skills and critical thinking.
• Ability to solve problems using current policies and procedures.
• Demonstrated coding knowledge and proficiency through on-site skills assessment with a passing score of 90% prior to hire.

• Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS) required.
• Required to provide current American Health Information Management Association (AHIMA) continuing education records.

Cook Children’s Medical Center is the cornerstone of Cook Children’s, and offers advanced technologies, research and treatments, surgery, rehabilitation and ancillary services all designed to meet children’s needs.

Cook Children’s is an EOE/AA, Minority/Female/Disability/Veteran employer.