Medical Records Coder and Abstractor II

Cardiac Specialist Registered Nurse - CVOR

At Tri Health, our corporate team thrives on a service-oriented mindset grounded in inclusivity, innovation, and collaboration. We cultivate a supportive culture where every team member is valued, empowered, and given a true sense of belonging. When you join us, you become part of a community that invests in your personal well-being and your professional future. You'll experience meaningful growth and development opportunities, excellent benefits, and a workplace where people actively support one another and share best practices every day.

Here, your contributions matter—and together, we make a lasting impact.

Location:

This is a work from home role that requires the team member to live in the Greater Cincinnati/Northern Kentucky area

Schedule:

Day Shift

Job Overview:

Reviews and interprets clinical documentation to assign accurate and complete codes, modifiers, MSDRG's, APR-DRG's, SOI, ROM, POA indicators, discharge dispositions and any other clinical data elements required for appropriate reimbursement. Understands and applies reimbursement processes under federal compliance guidelines. Abstracts demographic and clinical data into hospital health information system(s) such as HDM, Epic, or other currently in use. Performs and responds to data quality checks and payer/claims issues.

One may specialize in one or more of the standard functions. Specific assignments will vary from day to day based on the needs of the department.

Job Requirements:

Currently enrolled in an approved program for specific field of study. Proficiency in ICD and CPT coding DRG's MSDRG's POA indicators Post-acute transfer rules Disposition status Disease process and treatment Anatomy and medical terminology Clinical documentation requirements AHIMA RHIT
- Registered Health Information Technician RHIT
- Registered Health Information Technician Continuing education pursued in accord with requirements of the accrediting bodies. within 180 Days Required RHIA
- Registered Health Information Administrator RHIA
- Registered Health Information Administrator Continuing education pursued in accord with requirements of the accrediting bodies. within 180 Days Required or CCS
- Certified Coding Specialist CCS-Certified Coding Specialist Continuing education pursued in accord with requirements of the accrediting bodies. within 180 Days Required or Other Certified Professional Coder (CPC) may be substituted at the hiring manager's discretion. within 180 Days Required or CCA – Certified Coding Assoc CCA
- Certified Coding Associate may be substituted at the hiring manager's discretion. within 180 Days Required

Job Responsibilities:

Independently and confidently delivers high quality results utilizing coding resources and provided education. Reviews and interprets clinical documentation to assign accurate and complete codes, modifiers, DRG's, and POA indicators. Consistently meets monthly productivity goals set by department. Productivity guidelines for activities involved in the coding process are as follows: 1.25 Med/Surg cases per hour, 2 observations per hour, 2.5-3 OB/NB cases per hour, 3 Outpatient Surgeries per hour, 12 ED's per hour, 34 Ancillaries 5=>150, 4=149-120, 3=119-100, 2=99-80, 1=