Clinic Coder

Surgery Partners Careers•Wichita, KS

1d•Onsite

About The Position

The Coder, under the general direction of the Manager of HIM, is primarily responsible for reviewing medical record documentation and assigning accurate diagnosis and procedure codes. This role involves performing analysis of medical records, auditing them for completeness and proper documentation, and assisting the business office with coding issues. The Coder communicates routinely with physicians about diagnoses, procedures, and documentation, and queries healthcare providers when code assignments are not straightforward or documentation is inadequate, ambiguous, or unclear for coding and legal health purposes. The position also maintains knowledge of current state and federal coding guidelines, analyzes records for physician deficiencies, and monitors unbilled records reports. The Coder is expected to maintain established hospital and departmental policies and procedures, ensure confidentiality of patient and hospital-related business, and develop effective working relationships with other hospital employees. Additionally, the role includes participating in Quality Assessment activities and performing medical staff services functions in the absence of the HIM Manager.

Requirements

Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) or Certified Coding Specialist (CCS or CCS-P) or Certified Professional Coder (CPC)
Two years’ coding experience required.
Ability to read and speak English fluently.
Cognitive skills for math, reading, computer skills, and communication skills to deal well with the public (customers), physicians, and other hospital employees.

Responsibilities

Codes and abstracts medical records using ICD-10-CM and ICD-10-PCS and CPT codes.
Assists Billers regarding coding issues and questions.
Assists with responses to KFMC (the QIO) and other review organizations.
Communicates routinely with physicians about diagnoses, procedures, and documentation.
Queries physicians and other healthcare providers when code assignments are not straightforward or documentation is inadequate, ambiguous, or unclear for coding and legal health purposes.
Audits medical records for completeness and accurate information.
Maintains knowledge of current state and federal coding guidelines.
Analyzes records for physician deficiencies and enters/removes deficiencies in EMR.
Answers telephone inquiries.
Copies and faxes records as needed.
Monitors unbilled records report.
Maintains established hospital and departmental policies and procedures.
Maintains confidentiality of patient and hospital related business.
Develops and maintains an effective working relationship with other hospital employees.
Documents concisely, precisely and accurately on records or documents as indicated by policy.
Participates in Quality Assessment activities as directed for the continuous improvement of patient care and hospital business.
Performs other duties as assigned.
Actively supports and upholds the mission and core values of the Hospital.
Remains knowledgeable of and follows the policies of the Hospital.
Always maintains patient and hospital confidentiality.
Keeps Manager apprised of day-to-day situations.
Actively protects patients and self by following OSHA and other standards reviewed in annual training.
Performs medical staff services functions in the absence of the Manager, Health Information Management’s absence.