Coder II

Intermountain Health

5d • $20 - $30

About The Position

The purpose of this position is to assign ICD-10 CM diagnosis and procedure codes with the appropriate DRG assignment for inpatient encounters, ICD-10-CM diagnosis and procedure codes, CPT-4 procedure codes, and APC assignment for outpatient encounters. This is to ensure a valid database used for research, reporting, quality improvement activities, reduce days not final billed (DNFB), and appropriate reimbursement. Scope 1.Assigns ICD, CPT and HCPCS coding classifications based on clinical documentationand/or physician orders. Utilizes appropriate tools, resources and guidelines to determine codes and assigns first listed diagnosis and secondary diagnoses. Obtains clarification from physicians, clinical departments and others on documentation questions, as needed. Performs coding at an advanced level of coding complexity. Codes complex diagnoses, CPT and assigns modifiers for multiple facilities. Codes combinations of outpatient hospital charts. 2. Maintains assigned work queues within defined processing timeframe and meets or exceeds productivity standards. 3. Verifies data abstracted and entered from the EMR. Ensures integrity of the database for internal and external data reporting. 4. Responds in a timely manner to inquires from Revenue Services related to use of codes and modifiers within the billing process to assure accuracy and avoid delays in the billing process. 5. Adheres to all compliance guidelines, both internal and external. Participates in continuing education programs to maintain an understanding of anatomy, physiology, medical terminology, disease processes and surgical techniques to support the effective application of coding guidelines and maintain credentials. 6. Promotes mission, vision, and values of SCL Health, and abides by service behavior standards. 7. Performs other duties as assigned.

Requirements

• High School Diploma or equivalent
• Registered Health Information Administrator (RHIA), Registered Health Information Technician(RHIT), OR certified Coding Specialist (CCS) credential through American Health Information Management Association (AHIMA) OR completion of coding certification through American Academy of Professional Coders (AAPC) with coding certification of Certified Professional Coder(CPC) or Certified Outpatient Coder (COC) or Certified Inpatient Coder (CIC) or Certified Coding Associate through AHIMA (CCA) required
• Successful completion of internal coding exam.
• Navigates multiple software systems effectively and efficiently.
• Utilizes critical thinking thought process to assign appropriate clinical diagnosis and procedure codes in accordance with nationally recognized guidelines.
• Maintains knowledge of CPT codes assigned by departments at the time of charging and alerts departments when improper CPT codes are entered to assure accurate billing of accounts.
• Computer skills and 10-key typing proficiency.
• General software skills with MS Office products, including Word and Excel.
• Strong communication and integrity skills, both verbal and written, in order to interpret medical documents and communicate effectively with medical professionals especially related to compliance guidelines .
• Ability to work independently in a remote environment.
• Demonstrates attention to detail for accuracy requirements.
• Familiar with coding software such as 3M encoder, Epic and computerized assisted coding applications.
• Regular attendance to perform work on site during regularly scheduled business hours or scheduled shifts is required
• Ability to work nights and/or weekends is required for identified positions
• Hearing/listening, lifting, manual dexterity, pulling/pushing, seeing, sitting, speaking, squatting/kneeling, standing, and walking.

Nice To Haves

• Associate Degree in Health Information or in a Healthcare related field
• Minimum of three years coding experience in a hospital or acute care setting is required, using both ICD and CPT coding preferred

Responsibilities

• Assigns ICD, CPT and HCPCS coding classifications based on clinical documentationand/or physician orders.
• Utilizes appropriate tools, resources and guidelines to determine codes and assigns first listed diagnosis and secondary diagnoses.
• Obtains clarification from physicians, clinical departments and others on documentation questions, as needed.
• Performs coding at an advanced level of coding complexity.
• Codes complex diagnoses, CPT and assigns modifiers for multiple facilities.
• Codes combinations of outpatient hospital charts.
• Maintains assigned work queues within defined processing timeframe and meets or exceeds productivity standards.
• Verifies data abstracted and entered from the EMR.
• Ensures integrity of the database for internal and external data reporting.
• Responds in a timely manner to inquires from Revenue Services related to use of codes and modifiers within the billing process to assure accuracy and avoid delays in the billing process.
• Adheres to all compliance guidelines, both internal and external.
• Participates in continuing education programs to maintain an understanding of anatomy, physiology, medical terminology, disease processes and surgical techniques to support the effective application of coding guidelines and maintain credentials.
• Promotes mission, vision, and values of SCL Health, and abides by service behavior standards.
• Performs other duties as assigned.

Benefits

• We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
• Learn more about our comprehensive benefits package here.
• Intermountain Health’s PEAK program supports caregivers in the pursuit of their education goals and career aspirations by providing up-front tuition coverage paid directly to the academic institution.
• The program offers 100+ learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates.
• Caregivers are eligible to participate in PEAK on day 1 of employment.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED
• Number of Employees: 11-50 employees