Coder

LMH Health•Lawrence, KS

9d•Remote

About The Position

The Coder II is responsible for accurate coding, abstracting, claims filing, documentation review, and claims denial processing based on medical record documentation. The role keeps current with coding changes and guidelines to ensure quality and compliance, and combines data-quality and insurance-representative responsibilities while working with other members of the HIMS department. The position reviews inpatient and outpatient records, assigns and sequences diagnoses and procedures, abstracts and verifies data, and supports accurate claims and hospital payment. The Coder works cooperatively with medical staff and other healthcare professionals, contributes to quality improvement and documentation auditing, and communicates coding and DRG information to hospital personnel. The position is entirely remote or work from home after completion of the onboarding training program. The employee must live in Kansas or Missouri and attend on-site meetings as scheduled.

Requirements

High school diploma or equivalent.
Completion of one of the following: Certificate Coding Associate, Certificate Coding Specialist, Certified Professional Coder, Registered Health Information Technician, or Registered Health Information Administrator.
At least 2 years of prior coding experience.
Knowledge of ICD-10.
Ability to concentrate and maintain accuracy despite frequent interruptions or distractions, and to sit for long periods.
Ability to follow instructions and use sound judgment.
Close mental and visual attention to detail.
Excellent verbal and written communication skills.
Ability to handle frustration and interactions with others professionally.
Self-motivation to complete assignments accurately and on time.
Must live within Kansas or Missouri.
Must attend on-site meetings as scheduled.

Nice To Haves

Associate’s or bachelor’s degree in Health Information Management.
Knowledge of 3M Coding Solution.

Responsibilities

Demonstrate behavior consistent with LMH Health’s cultural beliefs: Patient First, Be Bold, Own It, Speak Up, Better Together, and In Joy.
Review inpatient and outpatient medical records to identify the principal diagnosis and applicable secondary diagnoses and procedures.
Use a computerized encoding system to code accurately under the appropriate classification system.
Sequence diagnoses and procedures according to ICD-10-CM, ICD-10-PCS, CPT/HCPCS, UHDDS, Medicare, Medicaid, and other fiscal intermediary guidelines.
Cross-train to assist with outpatient and emergency department coding backlogs as needed.
Work with medical staff and other healthcare professionals to obtain documentation that supports optimal hospital payment and accurate data input.
Prepare workload reports and participate in departmental continuous quality improvement studies.
Abstract medical data and complete discharge data abstracts for outpatients.
Complete and verify diagnostic, demographic, and other information for submission to KHDS.
Review and verify data quality and initiate necessary correction processes.
Participate in medical record documentation audits to monitor physician compliance with regulatory requirements.
Communicate and advise hospital personnel on coding and DRG assignment.
Meet established quality and productivity standards.
Follow hospital and departmental policies, procedures, and regulations, including attendance requirements.
Maintain ongoing registration and continuing education for applicable credentials.
Perform other duties as assigned or requested.
Maintain regular and reliable attendance.