Coder II

Hunt Regional Healthcare • Greenville, TX

7d

About The Position

This position is responsible for accurately coding at least one main outpatient
work type accounts (Observation, Same Day Surgery, and/or ER) as well as
assisting with the coding of other outpatient work types as needed. All accounts
should be completed within 5 days following discharge.

Requirements

• Completion of college level course work in Medical Terminology and Anatomy and Physiology.
• A minimum of two (2) years coding experience in an acute care hospital.
• CCA credentials (Certified Coding Associate) or CPC credentials (Certified Professional Coder)
• A through working knowledge of Medicare billing rules, regulations and local medical review policies as they impact reimbursement under APCs and DRGs.

Nice To Haves

• Minimum education level of Associates Degree.
• CCS credentials (Certified Coding Specialist -- Hospital based)
• RHIT or RHIA credentials

Responsibilities

• 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.
• Responsible for final coding of outpatient accounts (Observation, Same Day Surgery and/or Emergency Department).
• Accurately assigns ICD-10-CM and CPT codes to arrive at an APC based on information provided in the patient record.
• For observation accounts, responsible for capturing ER E/M level charges, injections/infusions charges, and observation hour charges for patients that are admitted to observation.
• Prompts medical staff physicians for additional documentation as needed to clarify correct assignment of ICD-10-CM diagnosis and CPT procedure code assignment.
• Responsible for responding to any audited accounts provided by the Audit team 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.
• Responsible for maintaining an overall coding accuracy rate of 95% or greater.
• Responsible for ensuring that no accounts remain un-coded > 5 days following patient discharge unless required documentation is needed.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed