Health Information Coder (ICD-10CM)

Illuminus•Fitchburg, WI

33d•Onsite

About The Position

Illuminus is seeking a full-time Health Information Coder to join our team. The Coder is responsible for extracting relevant clinical details from patient records to assign accurate diagnostic codes (ICD-10CM) while ensuring compliance with all state and federal regulations and coding guidelines. This position will work onsite generally Monday - Friday from 8:00am - 4:30pm onsite at our office located at 2970 Chapel Valley Road in Fitchburg, Wisconsin.

Requirements

High School education or equivalent.
Certification through AAPC or AHIMA (CPC, CCA, CCS, RHIT, or RHIA) or ability to obtain within three months of start date.
One (1) year of coding experience preferred.
Strong understanding of medical terminology, anatomy and physiology, pathophysiology, and pharmacology.
Knowledge and understanding of regulatory and coding guidelines (CMS, HIPAA).
Knowledge of Patient Driven Payment Model (PDPM) reimbursement system, medical necessity, and denials preferred.
Proficiency in Electronic Health Record (EHR) systems, and Microsoft Office applications.
Strong organizational, analytical, and problem-solving skills, and attention to detail.
Strong Keyboarding and filing abilities.
Ability to exhibit professionalism, flexibility, dependability, and a desire to learn.
Ability to effectively communicate with internal and external stakeholders at various levels in a tactful and courteous manner in verbal, nonverbal, and written forms.
Commitment to quality outcomes and services for all individuals.
Ability to relate well to all individuals.
Ability to maintain and protect the confidentiality of information.
Ability to exercise independent judgment and make sound decisions.
Ability to adapt to change.

Nice To Haves

One (1) year of coding experience preferred.
Knowledge of Patient Driven Payment Model (PDPM) reimbursement system, medical necessity, and denials preferred.

Responsibilities

Maintains and actively promotes effective communication with all individuals.
Maintains a positive image of the entity in the community keeping in alignment with our mission, vision, and values.
Maintains working knowledge of laws, regulations, and industry guidelines that impact compliant coding while practicing ethical judgment in assigning and sequencing codes for proper reimbursement.
Researches and analyzes health records to verify clinical documentation supports diagnosis procedure, and treatment codes.
Assigns accurate codes for diagnoses and services in accordance with ICD-10-CM, CPT, and HCPCS coding rules and guidelines. Maintain 95% accuracy rate.
Ensures coding practices comply with federal and state regulations, including HIPAA and CMS guidelines.
Analyzes health record to ensure accuracy and identifies missing information or documentation deficiencies.
Query physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes.
Serves as a resource and subject matter expert providing coding education to support providers and other internal departments as necessary.
Participates in quality assurance and improvement efforts. Researches, analyzes and recommends actions to correct discrepancies and improve coding accuracy and efficiency.
Maintains confidentiality, privacy and security in all matters pertaining to this position.
Performs other duties, as assigned.