Coder Senior

Geisinger

1d • Remote

About The Position

Health information coding is the transformation of verbal descriptions of diseases, injuries, and procedures into numeric or alphanumeric designations. The coding process reviews and analyzes health records to identify relevant diagnoses and procedures for distinct patient encounters. Coders are responsible for translating diagnostic and procedural phrases utilized by healthcare providers into coded form procedure codes that can be utilized for submitting claims to payers for reimbursement. A joint effort between the healthcare provider and the coder is essential to achieve complete and accurate documentation, code assignment, and reporting of diagnoses and procedures.

Requirements

• Minimum of one of the following certifications is required: Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC) Certified Risk Adjustment Coder (CRC) - American Academy of Professional Coders (AAPC) Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA) Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA)
• High School Diploma or Equivalent (GED)- (Required)
• Minimum of 7 years-Relevant experience (Required)
• Certified Coding Specialist - American Health Information Management Association (AHIMA)
• Certified Professional Coder - American Academy of Professional Coders (AAPC)
• Certified Risk Adjustment Coder - American Academy of Professional Coders (AAPC)
• Registered Health Information Technician (RHIT) - American Health Information Management Association
• Communication
• Computer Literacy
• Medical Records Management
• Medical Records Systems
• Teamwork
• Working Independently

Responsibilities

• Reviews the content of the medical record for hospital and professional inpatient or outpatient records to identify principal diagnosis, secondary diagnoses and procedures performed that explain the reason for service being provided or the admission and patient severity and comply with standard provider coding regulations.
• Carefully details review of documents such as laboratory findings, radiology reports, various scan reports, discharge summary, history and physical, consultations, orders, progress notes and other ancillary services treatment records needed to ensure all pertinent diagnoses and procedures are recorded.
• Translates all diagnostic and procedural phrases utilized by healthcare providers into coded form procedure codes as required.
• Using the Encoder software program, determines the codes for all diagnoses and procedures. Determines their sequencing to legally maximize reimbursement. Assigns the appropriate DRG.
• Assigns codes based on hospital and professional coding guidelines, Coding Clinic directives, federal regulations, CCI coding initiatives, CPT Assistant or other standard coding guidelines.
• Queries physicians as needed to clarify documentation within the patient’s record to facilitate complete and accurate coding.
• Communicates to Coding Quality and Professional Manager any new diagnoses, procedures, technologies, etc. documented within patient records to ensure that appropriate diagnosis and procedure codes are selected and incorporated into hospital and professional coding guidelines.
• Provides and arranges training for coding professionals in the use of coding guidelines and practices, proper documentation techniques, medical terminology, and disease processes.
• Completes coding quality audit reviews to ensure all available cases were coded and entered into the hospital and professional computer system correctly and initiates Claim Action Reports as necessary.
• Develops coding policy and procedure or position papers related to correct coding for new or emerging technology services provided by clinical staff, and train coders on the use of that policy and procedure.
• Accountable for satisfying all job specific obligations and complying with all organization policies and procedures.
• The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.
• Relevant experience may be a combination of related work experience and/or completed specialty training program (1 year of specialty training = 1 year relevant experience).

Benefits

• We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners.
• Perhaps just as important, we encourage an atmosphere of collaboration, cooperation and collegiality.
• We know that a diverse workforce with unique experiences and backgrounds makes our team stronger.
• Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all.
• We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.
• We offer healthcare benefits for full time and part time positions from day one, including vision, dental and benefits for domestic partners.
• Perhaps just as important, we encourage an atmosphere of collaboration, cooperation and collegiality.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees