Certified Coder - Hybrid/Remote

Granville Health System•Oxford, NC

About The Position

Granville Health System is seeking a Certified Coder to join its Health Information Management team. The role codes admission, principal, and secondary diagnoses and procedures for assigned patient types to support appropriate reimbursement and timely claim processing. It includes abstracting diagnoses and procedures from medical records into hospital and physician health information systems for billing, and collaborating with physicians, patient care providers, Patient Financial Services, the Insurance department, and the CDI Specialist/Program. The coder reviews records concurrently and at discharge, supports resolution of billing denials and audit findings, monitors coding delays and concerns, and keeps coding knowledge current with regulatory and policy updates. The position also reviews and enters E/M Hospitalist charges, assesses outpatient documentation and charge tickets for completeness, accuracy, compliance, and appropriate reimbursement, and provides coding guidance and training to physicians and staff. The employee is expected to comply with the hospital’s Ethics and Compliance program and report compliance variances through the appropriate channels. The position is described as hybrid/remote and requires high-speed internet connectivity for remote work.

Requirements

Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) certification in ICD-10-CM coding, or Accredited Records Technician qualification.
Three years of ICD-10-CM and CPT coding experience in a hospital outpatient setting, or three years of coding experience in a hospital setting with validation of coding performance within the national standard.
Initiative and judgment in collecting and analyzing medical record data.
Ability to work under pressure and amid continuous interruptions.
Above-average written and oral communication skills.
Computer skills.
Ability to work remotely with high-speed internet connectivity.

Nice To Haves

Hospital outpatient coding experience.

Responsibilities

Review patient records and accurately assign admission, principal, and secondary diagnosis and procedure codes concurrently and at discharge for assigned patient types.
Enter diagnoses and procedure codes into the facility health information system in a timely manner.
Work with Patient Financial Services staff to resolve billing denials and audit findings based on chart reviews or medical necessity findings.
Inform the HIM Director of coding delays and concerns.
Review coding updates to keep knowledge current with regulatory and policy changes.
Work closely with the CDI Specialist/Program.
Review patient records and assign and enter E/M Hospitalist charges.
Evaluate medical record documentation and charge ticket coding to support appropriate reimbursement and ensure outpatient diagnostic and procedural codes and documentation accurately reflect the visit.
Interact with the Insurance department to support timely claim processing.
Abstract diagnoses and procedures from medical records into the physician health information system for timely billing.
Evaluate medical records and charge tickets for completeness, accuracy, and compliance with ICD-10-CM and CPT.
Provide technical guidance and training on medical coding to physicians and staff.
Perform other tasks assigned by management.
Comply with the hospital’s Ethics and Compliance program and report compliance variances through the appropriate channels.