Full-time

BOUNDARY COMMUNITY HOSPITAL•Bonners Ferry, ID

9d•Onsite

About The Position

The HIM Coder/Technician II ensures patient record documentation meets state and federal regulations and that physician documentation supports coding. The role applies official coding guidelines when assigning diagnostic and procedure codes for inpatient and outpatient accounts based on health record documentation. It also supports the HIM Manager with daily department activities, including release of information, scanning and validating paper documents, compiling statistics, gathering data for trauma and cancer registries, filing, transcribing, and maintaining data dictionaries. This is a full-time position scheduled Monday through Friday, 7:00 a.m. to 3:30 p.m. The position is located at the legal address in Bonners Ferry, Idaho.

Requirements

High school diploma.
CCS coding certification from AAPC or AHIMA, or an accredited college, or at least five years of applicable ICD diagnostic, CPT procedural, and HCPCS coding experience in a hospital or diverse specialty physician office.
Advanced knowledge of medical terminology.
Excellent written and oral communication and interpersonal skills.
Experience capturing data and analyzing quality measures, case mix index, and health record documentation compliance.
Skills in data analysis, research, and error correction.
Strong organizational and teamwork skills.
Ability to present information effectively and respond to questions concerning statistics, coding, and transcription.
Advanced computer skills in Microsoft Word, Excel, Outlook, and electronic medical records.
Keyboarding speed of at least 50 words per minute.

Nice To Haves

RHIT certification.
Experience with Meditech or EPIC.

Responsibilities

Ensure patient record documentation meets state and federal requirements for content, completeness, and timeliness.
Code emergency department, outpatient, and inpatient accounts according to coding guidelines, using the Alpha II coder, Code Correct, and AMA ICD-10-CM and HCPCS coding books.
Review charts for accuracy and completeness for analytical, statistical, and patient-care purposes.
Contact physicians and ancillary departments to obtain correct diagnoses needed to complete coding procedures, including physically locating and waiting for clinicians when necessary.
Record chart deficiencies in the ICR desktop promptly and provide healthcare staff with the information needed to complete them.
Respond to calls from ancillary departments and physician offices about ICD-10 and CPT coding.
Transcribe STAT dictations as a priority and complete other transcription as needed.
Refer inconsistent or incorrect provider coding to management when a trend or pattern is identified.
Process requests for copies of medical records from other healthcare facilities, telephone callers, and walk-in requesters, ensuring requests are completed correctly.
Maintain healthy interpersonal relationships with staff and recognize the position’s role in performance improvement and ongoing patient care.
Follow correct policies and procedures during emergencies or disasters.
Wear personal protective equipment as situations require and maintain hospital infection-control standards.
Assist the HIM Manager with release of information, scanning and validating paper documents, compiling statistics, gathering data for trauma and cancer registries, filing, transcribing, and maintaining data dictionaries.