Health Information Coder (ICD-10CM)

IlluminusFitchburg, WI
2d$22 - $25Onsite

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 d 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

  • 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.

Benefits

  • Employee Referral Bonus Program.
  • Educational Advancement/Training Opportunities (Wound care, IV administration etc., provided by our Illuminus Institute or Other External Qualifying Educational institution)
  • Paid Time Off and Holidays acquired from day one of hire.
  • Health (low to no cost), Dental, & Vision Insurance
  • Flexible Spending Account (Medical and Dependent Care)
  • 401(k) with Company Match
  • Financial and Retirement Planning at No Charge
  • Basic Life Insurance & AD&D - Company Paid
  • Short Term Disability - Company Paid
  • Voluntary Ancillary Coverage
  • Employee Assistance Program
  • Benefits vary by full-time, part-time, and PRN status.
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