Coder IV

Maricopa Integrated Health System • Phoenix, AZ

50d • $26 - $38

About The Position

Join our dynamic Health Information Management (HIM) team as a Coder IV, where your advanced coding expertise will make a direct impact on patient care and organizational success. Under the guidance of the Coding Supervisor, you'll take on a diverse and challenging caseload-ranging from Maternity and Pediatrics to Trauma, Behavioral Health, and complex Surgical cases-using ICD-10-CM and ICD-10-PCS coding systems. In this key role, you'll manage specialized work queues, support denial reviews, and ensure coding accuracy for stop-billed and combined accounts using SMART software. You'll also be a leader in quality assurance, mentoring new coders, assisting with training, and playing an active role in new software testing and implementation. If you're ready to elevate your coding career while helping shape the future of HIM, we want to hear from you.

Requirements

• Requires an associate degree in Health Information Technology or a related field or an equivalent combination of training and progressively responsible experience that results in the required specialized knowledge and ability to perform the assigned work in place of a degree.
• Requires eight (8) years of progressively responsible inpatient hospital/facility coding experience that demonstrates a strong understanding of the required job functions and knowledge, skills, and abilities to code all Inpatient service lines.
• Requires Level 1 Trauma coding experience.
• Requires coding experience in a teaching hospital.
• Requires the ability to pass a coding exam, at or above 85% accuracy, prior to hire.
• Must have a current coding certification (CPC, COC, CIC, CCS, CCS-P)
• RHIA or RHIT certification also accepted with requisite coding experience.
• Must be able to demonstrate application of APR DRG, SOI/ROM, MS DRG's, MCC, CC, SOI, ROM and ICD-10-CM/PCS, as well as query the physicians as appropriate.
• Must have knowledge of and be able to code all types of Inpatient patient medical records including, but not limited to: Burn, Behavioral Health, Trauma, Medical & Surgical, Maternity/Labor & Delivery, Pediatrics, Ortho, Intensive Care, resolving claim edits and assists in the resolution of AZ State tape errors while maintaining a minimum of 95% quality accuracy rate, utilizing official query guidelines and maintain coding quality established in the Coding Department Policy and Procedure.
• Requires the ability to work well independently and demonstrate independent decision-making abilities.
• Must be able to prioritize and multi-task workload and assignments to meet department objectives and goals. Must demonstrate the analytical ability and utilize problem solving skills while assessing work queues to identify issues, adjust staffing, and recognize coding errors.
• Must have the ability to show initiative and utilize critical thinking skills to provide potential solutions to problems identified and create educational material that pertains to the issues/concerns identified during assigned daily duties.
• Must have a high level of understanding of computer applications, Microsoft Office, Electronic Health Records and encoder systems.
• Must be able to communicate effectively both verbally and in writing with excellent customer service skills. Keeps coding supervisor/manager abreast of issues and educational opportunities identified during daily workflow.
• Requires the ability to work well independently and demonstrate independent decision-making abilities.
• Must be able to abide by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA).
• Requires the ability to read, write and speak effectively in English.

Nice To Haves

• A Bachelor's degree is preferred.
• Burn coding experience, preferred.
• Outpatient coding experience in addition to Inpatient, preferred.
• Prefer training in 3M encoder and EPIC Electronic Health Record.

Responsibilities

• Manage specialized work queues
• Support denial reviews
• Ensure coding accuracy for stop-billed and combined accounts using SMART software
• Mentor new coders
• Assist with training
• Play an active role in new software testing and implementation

Benefits

• 10 paid observed holidays
• Arizona State Retirement System (ASRS) and 12% Employee Contribution Match (Pension, Long Term Disability, and Health Insurance)
• Paid vacation, sick, and personal time
• Affordable medical, vision, and dental insurance benefits and a wellness program
• Flexible Spending accounts and health savings accounts
• Deferred Compensation-457(b) Roth and Supplemental Retirement - 401(A)
• Tuition reimbursement
• Public Service Loan Forgiveness (may forgive the remaining balance on a federal student loan made directly by the U.S. Department of Education after qualifying).
• Employee Assistance Program (EAP)

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Industry: Administration of Human Resource Programs
• Education Level: Associate degree