Health Information Management Coder - Health Information Management

overview

please be advised that this position is covered by the collective bargaining agreement between cook county and the afscm union. Pursuant to the collective bargaining agreement, cook county will exhaust internal eligible applicants prior to considering external applicants. Cook county is assembling a list of qualified candidates for this position that will be considered should the position not be filled with internal eligible applicants.

location: john h. Stroger, jr. Hospital

department: health information management

shift: 7:30 am - 3:30 pm

pay range: $37.658

salary is commensurate with years of experience indicated at time of application submittal. Experience not disclosed or documented at the time of application will not be considered for initial step placement.

under the supervision of a coding supervisor, the health information management (him) coder abstracts relevant clinical and demographic information from the medical record to identify the care rendered to the patient for the purpose of reimbursement, research and compliance. The him coder ensures that the medical record reflects accurate attending physician documentation for coding of physician and facility encounters. Assigns icd-10-cm and pcs codes, cpt-4, and hcpcs level ii codes in accordance with coding and reimbursement guidelines for physician and facility encounters.

Abstracts into a group and assigns diagnosis related group (drg) on inpatient accounts and applies ambulatory payment classifications (apc) to outpatient accounts. With minimal errors, identifies principal and secondary diagnosis and procedures based upon federally mandated requirements, corporate requirements, and hospital policy. Maintains productivity standards and quality accuracy of 95% or above.

• identifies and codes the principal and secondary diagnosis and procedures using icd-10-cm and pcs, e/m, cpt-4, and hcpcs level ii codes with minimal errors as needed.
• sequences diagnoses and procedures in accordance.
• abstracts specific data and enters into the clinical abstracting database.
• utilizes the encoder and other related databases and references to minimize coding errors.
• attends departmental required in-service and training in-service programs.
• attends the hospital's annual in-service and training programs.
• adheres to section/departmental procedures for work assignments.
• meets quality and productivity standards.
• adheres to the departmental standard practices guidelines.
• adheres to hospital attendance policies.
• adheres to environmental requirements.
• meets the standard for compliance of continuing education (ce) as defined by ahima or other licensing/certification agency.
• performs assignments as scheduled with or without supervision.
• maintains the confidentiality of information.
• maintains a cooperative working relationship with the health information management team.
• works flexible hours including weekends, holidays and various shifts.
• performs other duties as assigned, as required.

• high school diploma or g.e.d. (must provide high school diploma at time of interview).
• one (1) year of coding experience within the last two (2) years.
• one or more of the following certifications are required:

• rhia (ahima)
• rhit (ahima)
• ccs (ahima)
• ccs-p (ahima)
• cpc (aapc)

• must be able to work flexible hours, including weekends, holidays and various shifts.

• rhia or rhit preferred.

• knowledge of microsoft office excel and word.
• working knowledge of icd-9-cm and pcs, icd-10-cm and pcs.
• working knowledge of cpt-4.
• working knowledge of hcpcs level ii codes.
• excellent verbal and written communication skills to communicate with all levels of staff and a patient population of diverse cultures and ages.
• ability to code using a computerized encoder/abstracting system.
• ability to operate a pc in a windows environment.
• ability to multi-task and meet deadlines in a fast-paced and stressful environment.
• ability to adhere to department policies and standards using best practices.
• ability to maintain a professional demeanor and composure when challenged.
• ability to work flexible hours, including…