Coder III - Remote

ChristianaCare•Newark, DE

20h•$28 - $42•Remote

About The Position

ChristianaCare is seeking a full-time Coder III to accurately and promptly assign ICD-10-CM/PCS and HCPCS/CPT codes, assign payment group classifications, and abstract data for reimbursement and statistical reporting. Coding may cover inpatient, outpatient, emergency medicine, ancillary, diagnostic, and other patient records handled by the HIMS Department. The role is expected to meet or exceed department productivity and accuracy standards. The Coder III reviews and interprets medical records, abstracts and sequences diagnoses and procedures, enters information into coding and abstracting systems, and supports accurate billing, data quality, severity-of-illness and risk-of-mortality reporting. The position follows applicable UHDDS definitions, CMS regulations, and official and internal coding guidelines. It also supports coding operations through mentoring, queries, productivity reporting, special projects, systems work, and revenue-cycle initiatives. This is a 100% remote position, and national candidates are encouraged to apply. The schedule and hours are described as very flexible, with scheduling intended to support work/life balance. ChristianaCare provides equipment, coding books, continuing education credits, and professional organization memberships to AHIMA or AAPC.

Requirements

Certified Coding Specialist (CCS) credential.
A college degree in Health Information Management, completion of an AHIMA-approved certificate program, or one year of acute-care coding experience in inpatient, observation, emergency medicine, or same-day surgery.
Meet or exceed the productivity and accuracy standards outlined in HIMS Coding Policies and Procedures.

Nice To Haves

Associate or Bachelor of Science degree in Health Information Technology.

Responsibilities

Review and interpret inpatient, outpatient, ancillary, diagnostic, emergency medicine, and other patient records to assign appropriate ICD-10-CM/PCS diagnosis and procedure codes and HCPCS/CPT procedure codes.
Perform coding and abstracting to support accurate and timely billing, data quality, statistics, and severity-of-illness and risk-of-mortality calculations.
Follow UHDDS definitions, CMS regulations, and official and internal coding guidelines.
Use diagnostic reports, laboratory values, doctors’ orders, and administrative medication forms to code patient charts in accordance with official coding guidelines.
Complete daily work assignments as directed by Coding Support and work within applicable service-line structures.
Mentor newer coders and coders training in a new coding discipline.
Abstract pertinent data, determine and sequence diagnosis and procedure codes, and enter information into the coding and abstracting system.
Use the coding and abstracting system for communication, including placing accounts on hold to ask management questions and initiate queries.
Receive feedback and review charts with a member of the Coding Management Team to ensure accurate code assignment.
Provide coded and abstracted information needed for final coding and billing within productivity expectations and department and organization goals for DNFB dollar amounts and bill-hold days.
Review prepopulated patient demographic information received via HL7 and make necessary abstracted-data changes for accurate posting to the billing system.
Use the coding system to calculate inpatient encounters in MS-DRG and APR-DRG groupers for accurate severity-of-illness and risk-of-mortality reporting.
Sequence CPT codes using the APC grouper methodology to determine the proper CPT code hierarchy.
Submit timely, accurate, concise daily productivity reports.
Attend and participate in coding-section and department meetings, in-service training, seminars, and workshops.
Report errors or discrepancies in patient identification, account or encounter information, documentation, or other medical-record details.
Support the Coding Management Team with special coding projects as assigned.
Work with the HIMS Coding Systems Analyst on departmental IT initiatives, including systems testing, report reconciliation, and other project support as needed.
Work with the HIMS Coding Support Team on revenue-cycle goals, which may include aged coding accounts, billing-system access, and coding-system reports and queues.

Benefits

Medical insurance.
Dental insurance.
Vision insurance.
Life insurance.
403(b) retirement plan with company match.
Generous paid time off.
Care.com membership and access to backup care services for dependents through Care@Work.
Retirement planning services.
Financial coaching.
Fitness and wellness reimbursement.
Discounts on hotels, rental cars, theme parks, shows, sporting events, movie tickets, and other offerings.
Equipment, coding books, continuing education credits, and AHIMA or AAPC professional organization memberships.