Coder III-REMOTE

ChristianaCare•Newark, DE
•$28 - $42•Remote

About The Position

ChristianaCare is seeking a full-time Sr. Coder (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. The role covers inpatient, outpatient, emergency medicine, ancillary, diagnostic, and other patient records handled by the HIMS Department. This is a remote position, as indicated in the job title. The Coder III reviews and interprets patient records, abstracts and sequences diagnoses and procedures, and uses coding systems and diagnostic reports to support accurate coding, billing, data quality, and statistical reporting. The position also supports severity-of-illness and risk-of-mortality calculations, communicates coding questions through the coding system, and meets department productivity and timeliness expectations.

Requirements

  • 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.
  • An equivalent combination of education and experience may be substituted.

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 data quality, statistics, and calculation of severity of illness and risk of mortality.
  • Use diagnostic reports to code patient charts accurately.
  • Work within applicable service-line structures based on patient type.
  • Abstract pertinent data and determine and sequence diagnosis and procedure codes.
  • Use the coding and abstracting system as a communication tool, including placing accounts on hold to ask management questions and initiate queries, following HIMS Coding DNFB Tagging procedures.
  • Provide coded and abstracted information needed for final coding and billing within work-type efficiency expectations and department and organizational goals for DNFB dollar amounts and bill-hold days.
  • Review patient demographic information populated through HL7 from source systems and make necessary abstracted-data changes in coding systems.
  • Use coding systems to calculate inpatient encounters in MS-DRG and APR-DRG groupers for accurate coded-data reporting.
  • Sequence CPT codes in the coding system using APC grouper methodology to determine the accurate CPT code hierarchy.
  • Submit timely, accurate, concise daily productivity reports in accordance with department policy and practice.
  • Report errors or discrepancies in patient identification, account or encounter information, documentation, or other medical-record details identified during daily work.

Benefits

  • Full medical, dental, vision, and life insurance, among other coverage.
  • 403(b).
  • Generous paid time off.
  • Annual membership to Care.com.
  • Access to backup care services for dependents through Care@Work.
  • Retirement planning services.
  • Financial coaching.
  • Fitness and wellness reimbursement.
  • Discounts through vendors for hotels, rental cars, theme parks, shows, sporting events, and movie tickets.
  • Employee assistance program.
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