HIM Coder - Certified (Remote)

Clarke County Hospital•Osceola, IA

1d•Remote

About The Position

The HIM Coder - Certified reviews, codes, and abstracts outpatient charges for hospital records using an encoder or ICD-10-CM, CPT-4, and HCPCS references, and enters coding into the hospital computer system. The role verifies charges and medical record documentation, supports coding and claim-edit work queues, and ensures accurate charge capture and billing compliance. It also provides backup coverage for other coders and department overflow work. The position requires adherence to official coding and reporting guidelines, Medicare and/or Title XIX coverage decisions, and applicable accrediting, regulatory, and hospital requirements. The coder supports department and hospital goals, participates in team decision-making and improvement efforts, responds professionally to incoming calls, and maintains required certifications, education, competencies, and compliance practices.

Requirements

Current licenses and/or certifications required for the position must be maintained.
Complete annual education and competency requirements within the calendar year.
Demonstrate regular, reliable attendance.
Follow applicable coding guidelines, regulatory requirements, hospital policies, procedures, and safety guidelines.

Responsibilities

Review, code, and abstract outpatient charges for hospital records using an encoder or ICD-10-CM, CPT-4, and HCPCS references, and enter coding into the hospital computer system.
Verify all charges entered on accounts.
Perform deficiency verification for outpatient, clinic, emergency room, and inpatient records, ensuring pertinent and complete documentation and supporting reports are present.
Before coding, verify that testing orders include the order date, testing ordered and completed, diagnosis, and practitioner signature.
Assist with HIM work queues involving coding issues, claim edits, and deficiencies.
Follow official ICD-10-CM, CPT-4, and HCPCS coding and reporting guidelines and applicable Medicare and/or Title XIX coverage decisions.
Ensure medical record documentation is complete and accurate in accordance with accrediting and regulatory agency requirements.
Review charges and documentation to support accurate charge capture and billing compliance.
Abstract data accurately, including disposition codes, date of service, place of service, and service type.
Provide backup coverage for other coders and assist with department overflow activities.
Answer and respond to incoming calls courteously and professionally, following Standards of Behavior.
Participate in department and hospital goals, mandatory in-services, department meetings, and applicable training.
Participate in team-oriented decision-making and focus work on customer satisfaction.
Identify opportunities for improvement, communicate ideas to supervisors and/or staff, and carry out continuous quality improvement changes.
Follow hospital standards of behavior, department and hospital policies and procedures, and safety guidelines.
Maintain regular, reliable attendance and current licenses and/or certifications required for the position.
Maintain professional growth through education in-services as directed, and complete annual education and competency requirements within the calendar year.
Follow HIPAA, DIA, DNV, OSHA, and other applicable federal and state healthcare regulatory requirements.
Understand compliance requirements for federally funded healthcare programs, raise compliance questions or concerns to hospital administrative staff, and take appropriate action on staff-reported compliance concerns.