HCC Coder with CRC

Presbyterian Healthcare Services • Remote Workers New Mexico, NM

3d • $24 - $41 • Remote

About The Position

Presbyterian Healthcare Services is hiring a remote HCC Coder with CRC to code multiple types of medical records and professional fee services for reimbursement and research, in compliance with federal regulations and organizational policies. The coder reviews current medical records and assigns appropriate CPT, ICD, and MS-DRG codes; abstracts data for quality improvement and Joint Commission needs; researches records through computer systems; and helps ensure encounters are coded and accounts are resolved promptly. The role requires maintaining current coding knowledge, participating in departmental education, communicating issues to coding leadership, and meeting accuracy, productivity, and continuing education standards. The position is based remotely in New Mexico and lists varied days and hours.

Requirements

• High school diploma or GED.
• At hire, one of the following coding certifications: HCS-D, CCS, CCS-P, CPC-H, CPC, or RHIT/RHIA; candidates with RHIT/RHIA must achieve one of the listed coding credentials within one year of hire.
• One to three years of experience as a coder.
• Computer skills including Word, Excel, and PowerPoint.
• Ability to use the internet and other electronic resources for research.
• Maintain continuing education requirements per PHS policy.

Nice To Haves

• Experience with an encoder.
• Experience with an electronic medical record.

Responsibilities

• Code inpatient and/or outpatient hospital, emergency department, home health and hospice records, and/or professional fee services for specialty providers using applicable coding systems.
• Review patients’ current medical records and assign appropriate CPT, ICD, and MS-DRG codes in accordance with UHDDS guidelines, CMS requirements, federal regulations, and hospital and departmental policies.
• Abstract data for the quality improvement department and provide information to The Joint Commission.
• Research medical records using computer systems and electronic resources to complete coding in a timely manner.
• Help ensure all encounters are coded, locate missing documents, and generate appropriate queries when needed.
• Resolve pre-bill edits, denials, and other issues for assigned accounts.
• Maintain and share current knowledge of legal and regulatory information and coding updates, including ICD-9/10 CM, CPT-4, HCPCS, DRG, APC, and/or HHRG.
• Participate in departmental in-services and updates to remain current with accepted coding guidelines and improve knowledge of medicine and treatment.
• Communicate issues to the EW Clinical Coding Manager and Supervisor, as appropriate.
• Demonstrate knowledge of coding multiple areas of service and/or specialties.
• Maintain at least a 95% accuracy rate and average-to-high productivity under PHS Productivity Standards.
• Meet continuing education requirements under PHS policy.

Benefits

• Medical insurance
• Dental insurance
• Vision insurance
• Short-term disability insurance
• Long-term disability insurance
• Group term life insurance
• Other optional voluntary benefits
• Employee wellness rewards program with opportunities to earn gift cards through wellness activities

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED