Medical Coder

Position Summary Selected by Coding Leadership to focus coding skills and expertise on designated Inpatient or Outpatient high-dollar or specialty account types. The Specialty Coder is responsible for maintaining current and high-quality ICD-10-CM, ICD-10-PCS, and/or CPT coding for Inpatient and/or Outpatient diagnoses and procedural occurrences through the review of clinical documentation and diagnostic results, with a consistent coding accuracy rate of 95% or better. The Specialty Coder will accurately abstract data into all appropriate electronic medical record systems, verifying accurate patient dispositions and physician data while following the Official ICD-10-CM and ICD-10-PCS Guidelines for Coding and Reporting and AMA CPT Guidelines. The Specialty Coder will work collaboratively with various departments, including but not limited to Health Information Management (HIM) and Clinical Documentation Specialists, to ensure accurate and complete physician documentation that supports accurate billing and reduces denials. The Specialty Coder will also assist in other areas of the department as requested by leadership. The Specialty Coder reports directly to the Regional Coding Manager, with additional leadership from the Director of Coding Operations and the System HIM Director. Essential Responsibilities Meets expectations of the applicable competencies: Leader of Self, Leader of Others, or Leader of Leaders. Assigns codes for diagnoses, treatments, and procedures according to the ICD-10-CM/PCS Official Guidelines for Coding and Reporting through review of coding-critical documentation to generate the appropriate MS/APR DRG. Abstracts required information from source documentation for entry into the appropriate electronic medical record system. Validates admit orders and discharge dispositions. Works from assigned coding queue, completing and reassigning accounts correctly. Manages accounts on ABS Hold, finalizing accounts when corrections have been made in a timely manner. Meets or exceeds an accuracy rate of 95%. Meets or exceeds the designated productivity standard per chart type. Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA). Assists in implementing solutions to reduce backend errors. Identifies and appropriately reports all hospital-acquired conditions (HAC). Expertly queries providers for missing or unclear documentation by working with the HIM department and Clinical Documentation Improvement Specialists. Demonstrates strong written and verbal communication skills. Works independently in a remote setting with little supervision. Participates in both internal and external audit discussions. Performs all other duties as assigned by the Manager. Education High school diploma or equivalent years of experience required. Completion of an accredited Baccalaureate Health Informatics or Health Information Management program, or an AHIMA-approved Coding Certificate Program, preferred. Experience 1–3 years of experience preferred. Licenses, Registrations, or Certifications CPC Work Schedule 5 days per week 8-hour shifts Employment Type Full Time Pay: Up to $31.00 per hour Benefits: 401(k) matching Dental insurance Health insurance Vision insurance Application Question(s): What specialties do you have experience coding in? Please list all How many years of Profee coding experience do you have? Work Location: Remote