HIM Coder II, Certified, Remote

Amberwell Health•Atchison, KS
•Remote

About The Position

The HIM Coder II is a key member of the Health Information Management team and works under the direction of the Manager of Coding. The role reviews electronic medical record documentation and assigns and sequences ICD-10-CM diagnosis codes and ICD-10-PCS procedure codes in accordance with AHIMA Standards of Ethical Coding, ICD-10 Official Coding Guidelines, and other regulatory requirements. The primary focus is coding inpatient, observation, and surgical accounts. Inpatient coding uses Diagnosis Related Group (DRG) methodologies, including present-on-admission indicators, and requires analysis of documentation for complications and comorbidities. The HIM Coder II also performs physician queries, clarifies documentation, completes charge verification, applies appropriate CPT, HCPCS, and modifier codes for outpatient claims, and works edits and denials through claim-scrubber queues. The position requires the ability to work both independently and as part of a team, follow safe work practices, and comply with Amberwell procedures and established policies.

Requirements

  • At least one year of inpatient and surgery coding experience.
  • High school diploma and graduation from a Medical Coding Program.
  • One of the following minimum required certifications: Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), or Certified Inpatient Coder (CIC).

Nice To Haves

  • Two years of progressive inpatient facility coding experience.
  • One year of orthopedic surgery coding experience.
  • Graduate of a Health Information Technology program.
  • Registered Health Information Administrator (RHIA) certification.

Responsibilities

  • Review electronic medical record documentation and assign and sequence ICD-10-CM diagnosis codes and ICD-10-PCS procedure codes.
  • Code inpatient, observation, and surgical accounts.
  • Use DRG methodologies for inpatient coding, including present-on-admission indicators, and analyze medical record documentation for complications and comorbidities.
  • Perform physician queries and clarify documentation.
  • Complete charge verification.
  • Apply appropriate CPT, HCPCS, and modifier codes for outpatient claims.
  • Work edits and denials through claim-scrubber queues.
  • Work independently and as a member of a team.
  • Follow safe work practices and Amberwell procedures and established policies.
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