HIM Coder Analyst I

Cook Children's Health Care SystemRemote - TX, TX
Remote

About The Position

The HIM Coder Analyst I requires knowledge of and skill in applying International Classification of Diseases and Procedures (ICD), and Current Procedural Terminology (CPT) code sets and associated Medicare/Medicaid rules and guidelines. Reviews and interprets patient medical record documentation to identify pertinent diagnoses and procedures and assigns ICD-10-CMPCS and CPT 4 codes accurately and timely to the highest level of specificity based upon physician documentation for emergency department, outpatient clinic as the major responsibility and may assist with ambulatory surgery designated as simple cases. The HIM Coder Analyst I abstracts specified information from the patient medical record, enters the data into the electronic health record system for billing and use in all types of company reporting. Minimum expected accuracy rate for all coding is 95% or above. The HIM Coder Analyst I communicates with physicians and other providers regarding documentation requirements and collaborates with Clinical Documentation Specialists regarding documentation and coding requirements. Maintains current knowledge of coding and documentation changes, rules and guidelines. A successful candidate would have the ability to work well independently and productively with minimal guidance and without direct supervision. The HIM Coder Analyst I is highly detail oriented, can remain focused with good organization, interpersonal and communication skills. They can maintain confidentiality, are goal oriented, flexible, and energetic. Demonstrates coding, and critical thinking skills. Ability to solve problems appropriately using job knowledge and current policies and procedures.

Requirements

  • Knowledge of and skill in applying International Classification of Diseases and Procedures (ICD) and Current Procedural Terminology (CPT) code sets and associated Medicare/Medicaid rules and guidelines.
  • One (1) year current and continuous full time ICD-10 & CPT-4 coding experience.
  • Technically competent and fluent knowledge in navigation of electronic health record applications, automated encoders, and other software applications and hardware required for job role.
  • Microsoft Office Excel and Word proficiency.
  • Demonstrated coding knowledge and proficiency is required through on-site skills assessment with a passing score of 90% accuracy prior to hire.

Nice To Haves

  • Ability to work well independently and productively with minimal guidance and without direct supervision.
  • Highly detail oriented.
  • Ability to remain focused with good organization, interpersonal and communication skills.
  • Ability to maintain confidentiality.
  • Goal oriented, flexible, and energetic.
  • Demonstrates coding and critical thinking skills.
  • Ability to solve problems appropriately using job knowledge and current policies and procedures.

Responsibilities

  • Reviews and interprets patient medical record documentation to identify pertinent diagnoses and procedures.
  • Assigns ICD-10-CMPCS and CPT 4 codes accurately and timely to the highest level of specificity based upon physician documentation for emergency department, outpatient clinic, and simple ambulatory surgery cases.
  • Abstracts specified information from the patient medical record and enters the data into the electronic health record system.
  • Communicates with physicians and other providers regarding documentation requirements.
  • Collaborates with Clinical Documentation Specialists regarding documentation and coding requirements.
  • Maintains current knowledge of coding and documentation changes, rules, and guidelines.
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