Health Information Services Coder - Full Time
About The Position
Kern Medical is seeking a Health Information Services Coder to join their team. This is a full-time position at an acute care teaching center. The role involves coding and abstracting patient medical record information according to established classification systems and guidelines for reimbursement and reporting purposes. The coder will also assist with hospital reporting, data compilation, and training less experienced coders. Responsibilities include reviewing medical documentation, verifying coding and DRG assignments, and responding to inquiries regarding coding and reimbursement. Maintaining up-to-date knowledge of coding guidelines and regulations through continuing education is essential.
Requirements
- One year of diagnostic and procedure coding experience in a hospital, health care facility, or physician's office (for Level I).
- Completion of a medical coding program whereby the necessary skills were obtained to successfully perform the essential functions of the job (for Level I).
- Three years of diagnostic and procedure coding experience in a hospital, health care facility or physician's office (for Level II).
- Current registration as a Certified Coding Specialist (CCS) by the American Health Information Management Association (for Level II).
- Knowledge of standards and regulations pertaining to the maintenance of patient medical records.
- Knowledge of medical records coding systems.
- Knowledge of medical terminology, anatomy and physiology and study of diseases.
- Knowledge of health information systems for computer application to medical records.
- Ability to utilize the ICD classification system to code medical record entries.
- Ability to abstract information from medical records.
- Ability to read medical record notes and reports.
- Ability to set accurate Diagnostic Related Groups.
- Ability to 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.
- Ability to use computers and various software to accomplish work.
Responsibilities
- Codes and abstracts routine to complex 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 Planning Health 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.
- Assists in compiling statistical data for hospital reporting.
- Assists in training less experienced coders.
- Reviews medical record documentation/information and verifies coding and DRG assignments in response to billing requests.
- Responds to authorized requests 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 job related duties as required.
Benefits
- New Hire Premium: +6% of base rate of pay
- Deferred Compensation Plan (matched up to 6%)
- Holidays
- Vacation
- Medical Insurance
- Dental Insurance
- Vision Insurance
- Life Insurance
- Kern County Employees’ Retirement Plan (potential participation and company contributions)
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
No Education Listed
