HEALTH INFORMATION MANAGEMENT CODER - HEALTH INFORMATION MANAGEMENT

Cook County•Chicago, IL

1d•$38•Onsite

About The Position

Under the supervision of a Coding Supervisor, the Health Information Management (HIM) Coder abstracts relevant clinical and demographic information from the medical record to identify the care rendered to the patient for the purpose of reimbursement, research and compliance. The HIM Coder ensures that the medical record reflects accurate attending physician documentation for coding of physician and facility encounters. Assigns ICD-10-CM and PCS codes, CPT-4, and HCPCS Level II codes in accordance with coding and reimbursement guidelines for physician and facility encounters. Abstracts into a group and assigns Diagnosis Related Group (DRG) on inpatient accounts and applies Ambulatory Payment Classifications (APC) to outpatient accounts. With minimal errors, identifies principal and secondary diagnosis and procedures based upon federally mandated requirements, corporate requirements, and hospital policy. Maintains productivity standards and quality accuracy of 95%25 or above.

Requirements

A High School Diploma or G.E.D., is required (Must provide high school diploma at time of interview)
One (1) year of coding experience within the last two (2) years, is required.
Applicants must possess one or more of the following certifications, is required: o Registered Health Information Administrator (RHIA) (AHIMA). o Registered Health Information Technician (RHIT) (AHIMA). o Certified Coding Specialist (CCS) (AHIMA). o Certified Coding Specialist-Physician Based (CCS-P) (AHIMA). o Certified Professional Coder (CPC) (AAPC).
Must be able to work flexible hours, including weekends, holidays and various shifts, is required

Nice To Haves

Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) is preferred.

Responsibilities

Identifies and codes the principal and secondary diagnosis and procedures using ICD-10-CM and PCS, E/M, CPT-4, and HCPCS Level II codes with minimal errors as needed.
Sequences diagnoses and procedures in accordance.
Abstracts specific data and enters into the clinical abstracting database.
Utilizes the encoder and other related databases and references to minimize coding errors.
Attends departmental required in-service and training in-service programs.
Attends the Hospital's annual in-service and training programs.
Adheres to section/departmental procedures for work assignments.
Meets quality and productivity standards.
Adheres to the Departmental Standard Practices Guidelines.
Adheres to Hospital attendance policies.
Adheres to environmental requirements.
Meets the standard for compliance of Continuing Education (CE) as defined by the American Health Information Management Association (AHIMA) or other licensing/certification agency.
Performs assignments as scheduled with or without supervision.
Maintains the confidentiality of information.
Maintains a cooperative working relationship with the Health Information Management team.
Works flexible hours including weekends, holidays and various shifts.
Performs other duties as assigned, as required.