Coder​/Abstractor III

Overview

Job Title:

Coder/Abstractor III

Location:

Remote Potential
• Department:
Health Information Management
• Shift: Days
• Type:
Full Time
• FTE: 1

Base pay range: $28.00/hr - $46.80/hr

• Responsible for hospital inpatient coding and abstracting based on documentation and coding guidelines within established productivity standards for all accounts assigned.
• Resolves coding-related edits and denials and provides ongoing feedback and education to physicians and clinicians.
• Responsible for following up on all accounts unable to code due to missing/incomplete documentation or charges.
• Reviews medical record documentation and accurately assigns ICD-10 diagnoses and procedure codes, leading to the assignment of the correct MS-DRG or APR-DRG.
• Maintains confidentiality of protected health information.
• Collaborates with Clinical Documentation Specialists, HIM deficiency team, and medical staff to ensure completeness of documentation so appropriate codes and DRGs may be assigned.
• Codes records based on documentation, following strict coding guidelines, payer regulations, and ethics; meets productivity standards.
• Communicates effectively with Revenue Cycle and hospital departments regarding coding or charging concerns and claims submission.

• Associate or bachelor's degree in Health Information Management (HIM), required. RHIA, RHIT, or CCS required.
• 3+ years of inpatient hospital coding experience, required.
• Demonstrated advanced knowledge of DRG, ICD-10-CM, and ICD-10-PCS coding methodologies.
• Advanced knowledge of anatomy, physiology, pharmacology, disease processes, and medical terminology.
• Ability to communicate effectively in writing and verbally in English; accurate spelling and legibility.
• Ability to research authoritative coding citations; capable of independent work and good judgment.
• Knowledge of Medicare, Medicaid, and third-party coding and billing requirements; successful completion or pre-hire coding test.
• Attention to detail and excellent organizational skills.
• Ability to interact with physicians and support staff; strong customer service and data entry skills.

Must be able to prioritize and multi-task; work independently with minimal direction; interact professionally with a wide variety of people; function in an environment with frequent interruptions and multiple tasks; manual dexterity and vision corrected to normal range; travel to various sites as needed.

Seniority level:
Mid-Senior level

Employment type:

Full-time

Job function:
Engineering and Information Technology

Industries:
Hospitals and Health Care