HIM Coder Analyst II-REMOTE within State of TX

Cook Children's Health Care System • Fort Worth, TX

111d

About The Position

The HIM Coder Analyst II requires advanced 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-CM and CPT 4 codes accurately and timely to the highest level of specificity based upon physician documentation for ambulatory surgery, special procedure, observation, emergency department, outpatient ancillary and clinic visit records. Primarily codes complex ambulatory surgery and observation visit medical records. Identifies and abstracts specified information from the patient medical record and enters data into the electronic health record system for billing and use in all types of CCHCS reporting. Assists with coding outpatient ancillary clinic, specialty clinic and emergency room record coding as necessary. Minimum expected accuracy rate for all coding assignments is 95%. Communicates with physicians and other providers regarding documentation requirements and collaborates with Clinical Documentation Specialists on patient cases regarding documentation needs and requirements, and coding assignment accuracy. Maintains current knowledge of coding and documentation changes, rules and guidelines.

Requirements

• High School Diploma or Equivalent required.
• RHIA, RHIT or CCS certification required.
• Minimum of one (1) year current and continuous full-time ICD-10-CM & CPT-4 ambulatory surgery, observation and/or inpatient coding and abstracting experience required.
• Pediatric coding experience highly desired.
• Technically competent and fluent in navigation of electronic health record applications and automated encoders.
• Experience using Microsoft Office Excel and Word highly desired.
• Ability to work independently and productively with minimal guidance.
• Highly detail oriented with good organization, interpersonal and communication skills.
• Ability to maintain confidentiality.
• Goal oriented, flexible, and energetic.
• Demonstrated coding skills and critical thinking skills.
• Ability to solve problems appropriately using job knowledge and current policies and procedures.
• Demonstrated coding knowledge and proficiency required through on-site skills assessment with a passing score of 90% prior to hire.

Nice To Haves

• Pediatric coding experience.

Responsibilities

• Review and interpret patient medical record documentation to identify pertinent diagnoses and procedures.
• Assign ICD-10-CM and CPT 4 codes accurately and timely.
• Code complex ambulatory surgery and observation visit medical records.
• Identify and abstract specified information from the patient medical record.
• Enter data into the electronic health record system for billing and reporting.
• Assist with coding outpatient ancillary clinic, specialty clinic, and emergency room records.
• Maintain a minimum expected accuracy rate of 95% for all coding assignments.
• Communicate with physicians and other providers regarding documentation requirements.
• Collaborate with Clinical Documentation Specialists on patient cases.
• Maintain current knowledge of coding and documentation changes, rules, and guidelines.

Benefits

• Cook Children's is an EOE/AA, Minority/Female/Disability/Veteran employer.

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED