Inpatient Health Information Coder; Remote

Purpose of Position: Performs ICD and CPT coding of inpatient and outpatient medical records.

Consistently provides service excellence to all patients, family members, visitors, volunteers and co-workers in a manner that reflects Cape Cod Hospital’s commitment to CARES: compassion, accountability, respect, excellence and service.

• Analyzes, sequences and validates assigned codes based on medical record documentation using the automated encoder, book and coding compliance resources.
• Demonstrates complete understanding of coding rules, anatomy, physiology, and medical terminology to appropriately code patient information.
• Reviews all medical record documentation to determine and assign diagnoses, procedures, level codes and modifiers, to ensure appropriate coding for case mix.
• Selects the appropriate reimbursement grouper based on financial class for the particular account.
• Ensures that coding compliance, regulatory and reimbursement requirements are met through the process of assigning reimbursement classifications.
• Abstracts and enters diagnosis, procedures and level codes with demographic, clinical and related patient information into the Medical Record Abstracting and/or Billing/Accounts Receivable systems.
• Assesses adequacy of documentation and queries physicians and other healthcare providers to obtain additional medical record documentation or to clarify documentation to ensure accurate and appropriate coding and grouping.
• Reconciles, identifies and retrieves medical records to be coded, grouped and abstracted in accordance with departmental procedures.
• Maintains a 95% ongoing accuracy rate based on Medical Record Department performance monitors and third party validation audits.
• Self-manages and prioritizes work flow to achieve timely submission of claims and optimal productivity; maintains accurate productivity logs and reports to the Coding Manager.
• Assists in the orientation and development of new coding personnel.
• Assumes professional responsibility for development of skills and ongoing education to maintain certification.
• Stays abreast of developments in health information management by pursuing professional development, attending educational programs and meetings, and reviewing pertinent literature.
• Continuously monitors medical record documentation, 3M coding system, Soarian Financials system, SSI claim scrubber system, and department workflow to identify problems and implement solutions; communicates with the Coding Manager to improve productivity and department efficiency.
• Performs all duties in accordance with the hospital’s Customer Service standards and performs other duties as assigned or requested.

• Ability to read, write and communicate in English
• Current CCS (AHIMA Certified Coding Specialist)
• 6 months of PC Windows experience
• 6 months of inpatient coding experience
• Successful passage of Medical Record Department Inpatient Coding exam with a grade of 80% or better

40 hrs per week, Days, 7a-3:30p, Occasional weekends and holidays. Remote candidates considered.

Cape Cod Hospital

Primary

Location:

Massachusetts-Hyannis

Department: CCH-HB Health Info Mgmt

Annual/Hourly:
Hourly

Hiring Pay Range: 24.09 - 43.62