About The Position

Kern Medical is seeking a Health Information Services Coder I for a temporary, full-time position within their Physician Enterprise. This is an entry-level role in the Health Information Services Coder series, involving routine coding and abstracting functions under close supervision. The position has a limited term of up to 9 months, and health benefits coverage may be offered. Kern Medical is an acute care teaching center with 222 beds, providing a range of primary, specialty, and multi-specialty services. The organization cares for a significant number of inpatients and clinic patients annually and is committed to recruiting high-quality candidates to ensure consistent quality patient care.

Requirements

  • One year of diagnostic and procedure coding experience in a hospital, health care facility, or physician's office.
  • OR Completion of a medical coding program whereby the necessary skills were obtained to successfully perform the essential functions of the job.
  • Knowledge of standards and regulations pertaining to the maintenance of patient medical records; medical records coding systems; medical terminology; anatomy and physiology and study of diseases; health information systems for computer application to medical records.
  • Ability to utilize the ICD classification system to code medical record entries; abstract information from medical records; read medical record notes and reports; set accurate Diagnostic Related Groups; comply with the American Health Information Management Associate’s Code of Ethics and Standards of Ethical Coding and applicable Uniform Hospital Discharge Data Set (UHDDS) standards; use computers and various software to accomplish work.

Responsibilities

  • Codes and abstracts routine patient medical record information according to the International Classification of Diseases Clinical Modification Systems (ICD) and the current procedure terminology (CPT) Manual and coding conventions and guidelines as established by the Coding Clinic and Office of Statewide Health Planning Department (OSHPD) reporting requirements.
  • Assists with statewide Office of Statewide Health Planning Department (OSHPD) reporting by determining accurate identification of the Diagnostic Related Group (DRG) for proper reimbursement.
  • Reviews medical records documentation/information and verifies coding and DRG assignments in response to billing requests.
  • Responds to authorized request from agencies, administration and individuals regarding DRG coding questions or concerns.
  • Maintains a working knowledge of current guidelines and regulations affecting code assignments through continuing education sessions and approved references such as journals, workshops and teleconferences.
  • Performs other related duties as required.

Benefits

  • Health Benefits coverage may be offered.
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