Coder I (Remote)

Augusta Health • Fishersville, VA

4h • Remote

About The Position

This position plays a critical role in supporting Augusta Health’s mission and advancing departmental goals through measurable performance indicators and service excellence. This position contributes to a collaborative, patient-centered environment and helps drive outcomes aligned with organizational priorities. Under the direction of the Health Information Management Director and the Coding Manager, follows all regulatory guidelines in the reporting and sequencing of ICD-10-CM, HCPCS, and HCPCS Level II CPT codes. Generates coding queries to physicians to clarify patient condition(s) when conflicting or ambiguous information is reflected in the patient record. Understands their role in quality performance measures and serves as a resource to the Business Office in the reconciliation and resolution of problematic accounts. This is a fully remote opportunity.

Requirements

• High School Diploma or GED equivalent
• CCS or CPC certification
• Outpatient Coder - Coding Certification experience
• Eligibility to work in the United States and meet Virginia state employment requirements

Nice To Haves

• Accredited Coding Program education
• CCS, RHIT, RHIA, CCA, COC, CIC, CPA-A certifications
• One Year of experience
• Prior experience in a hospital, healthcare system, or related service-oriented environment
• Familiarity with Augusta Health’s systems, workflows, or organizational culture

Responsibilities

• Accurately enter ABS data (e.g. Surgeon name, procedure date, discharge disposition, admit diagnosis, POA status, etc.) with 95% + Accuracy
• Meets or exceeds bill drop dates/AR expectations, consistently monitors and manages AR to facilitate dropping of pending, old, or problematic accounts of assigned locations in accordance with 30-Day Bill Drop policy, and consistently meets established bill drop dates (90% of the time).
• Accurately reports principal diagnosis in keeping with the most current AHA Coding Clinic and ICD-10-CM/ICD-10CM guidelines (95% + Accuracy).
• Manages NCCI and OPPS edits in compliance with industry regulations, appends modifiers to charges when appropriate, notifies Business Office and corresponding ancillary department when charges should be removed or added, and identifies and reports to supervisor recurring charge issues that can be addressed with ancillary department managers.
• Manages Queries Appropriately by generating appropriate query selection based on clinical evidence established in the patient medical record, formatting non-standardized queries in keeping with AHA Coding Clinic, CMS, and QIO guidelines, and utilizing standardized query templates when available.
• Maintains established Productivity Standards (Emergency Room: 12 accounts per hour; Ancillary encounters: 30 accounts per hour).
• Meets or exceeds the expected DRG/APC accuracy rate of 95% where diagnosis and procedural codes applied to accounts result in the appropriate DRG or APC assignment(s).
• Accurately reports procedure codes (all ICD-10-CM and CPT procedure codes are accurately coded and reported in keeping with AHA Coding Clinic, CPT Assistant, ICD-10-CM, CPT-4, and/or unique payer coding and reporting guidelines) with 95% + Accuracy.
• Submits Productive/Non-Productive variation report with established timeframe (due on Mondays following the end of each pay period with a 3-day grace period).
• Accurately reports secondary diagnoses in keeping with the most current AHA Coding Clinic and ICD-10-CM/ICD-10-CM guidelines (Outpatient: 95% + Accuracy).

Benefits

• Comprehensive insurance package including medical, dental, and vision coverage
• Retirement savings plans and financial wellness support programs
• Generous paid time off and flexible scheduling to promote work-life balance
• Career development programs including clinical ladders, shared governance, and advancement opportunities
• Personalized onboarding with dedicated preceptors and ongoing educational support
• Tuition reimbursement and access to onsite childcare
• Free onsite parking, 24/7-armed security for your safety, a Health Fitness Reimbursement Program, and an onsite credit union and pharmacy
• Competitive pay with shift/weekend differentials
• Employee discounts at the cafeteria, gift shop, pharmacy, and local entertainment venues (i.e., movie tickets)

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED