Coder I

Hunt Regional Healthcare•Greenville, TX

1d•Hybrid

About The Position

This position is responsible for coding outpatient clinical and outpatient recurring accounts. All accounts should be completed within three (3) days following discharge.

Requirements

Completion of college level coursework in Medical Terminology and Anatomy and Physiology.
A through working knowledge of Medicare billing rules, regulations and local medical review policies as they impact reimbursement under APCs.
CCA credentials (Certified Coding Associate) or CPC credentials (Certified Professional Coder)

Nice To Haves

A minimum of one (1) year coding experience in an acute care hospital.
A basic working knowledge of Medicare billing rules, regulations and local medical review policies as they impact reimbursement under APCs.
CCS credentials (Certified Coding Specialist -- Hospital based), RHIT or RHIA credentials, Minimum education level of Associates Degree.

Responsibilities

Responsible for final coding of outpatient clinical and/or recurring accounts with an average turnaround time of three (3) business days.
Responsible for accurately assigning ICD-10-CM and applicable CPT codes based on information provided in the patient record, while maintaining an overall coding accuracy rate of 95% or greater.
Responsible for responding to any audited accounts within three (3) business days of receipt.
Responsible for responding to Patient Financial Services (PFS) questions regarding coding assignments that generate errors within the billing editor within three (3) business days of receipt.
Communicates with outpatient ancillary departments to obtain additional documentation as needed to clarify correct assignment of ICD-10-CM diagnosis and CPT procedure code assignment.
Responsible for completing continuing education requirements to maintain coding credential. Must obtain a minimum of ten (10) continuing education units per year.
Assists with other special projects as requested by the HIM Coding Manager and/or the HIM Department Director.
Demonstrates an understanding of and adherence to the HMHD Compliance Plan.
Conduct reflects HMHD's values and a commitment to HMHD's Code of Conduct.
Attends the required corporate integrity and compliance training and education programs.
Demonstrates proficiency in understanding the materials presented during the corporate integrity and compliance training and education program.
Complies with all HIPAA standards.
Consistently meets monthly productivity expectations.