Coder II (Remote)

Augusta Health•Fishersville, VA

6h•Remote

About The Position

The Coder II, 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.

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
CCS, RHIT, RHIA certification
CCA, COC, CIC, CPC-A certification
Three years coding 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: Same Day Surgery: 6 accounts per hour, Observation: 5 accounts per hour, Emergency Room: 12 accounts per hour, Ancillary encounters: 30 accounts per hour.
Meets or exceeds the expected DRG/APC accuracy rate of 95%, ensuring diagnosis and procedural codes applied to accounts result in the appropriate DRG or APC assignment(s).
Accurately reports procedure codes, ensuring 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.
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 (95% + Accuracy for Outpatient).
Requires good written, oral communication and interpersonal skills. ability to effectively communicate with all hospital practitioners is essential.
Demonstrates competency in the use of computer applications and grouper software, Medicare edits, and all coding and abstracting software and hardware currently in use by HIM.
Requires comprehensive knowledge of anatomy and physiology, medical terminology and disease processes.
Requires analytical ability to allow for interpretation of clinical data in all clinical specialties to determine appropriate code assignment.
Requires proficiency in abstracting chart data into computer module.
Requires ability to work independently, an eagerness to learn, attention to detail and good critical thinking skills.
Must possess high ethical standards due to confidential nature of patient information.

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
Access to onsite childcare
Free onsite parking
24/7-armed security for your safety
Health Fitness Reimbursement Program
Onsite credit union
Onsite pharmacy
Competitive pay with shift/weekend differentials
Employee discounts at the cafeteria, gift shop, pharmacy, and local entertainment venues (i.e., movie tickets)