CODER/HEALTH INFORMATION MANAGEMENT TECHNICIAN/Full-time

Boundary Community Hospital • Bonners Ferry, ID

7d

About The Position

The HIM Coder/Technician II ensures patient record documentation meets state and federal regulations and supports accurate coding. The position assigns diagnostic and procedure codes to inpatient and outpatient accounts based on health record documentation and official coding guidelines. It also assists the HIM Manager with department operations, including release of information, scanning and validating paper documents, compiling statistics, gathering data for trauma and cancer registries, filing, transcription, and maintaining data dictionaries.

This is a full-time, Monday-through-Friday position scheduled from 7:00 a.m. to 3:30 p.m. The role involves reviewing charts, resolving documentation deficiencies with physicians and ancillary departments, processing medical-record requests, and supporting performance improvement and infection-control procedures.

Requirements

• High school diploma.
• CCS coding certification from AAPC or AHIMA, graduation from an accredited college, or at least five years of applicable ICD diagnostic, CPT procedural, and HCPCS coding experience in a hospital or diverse specialty physician's office.
• Experience interpreting instructions in written, oral, diagram, or schedule form.
• Advanced knowledge of medical terminology.
• Excellent written and oral interpersonal and communication skills.
• Previous experience capturing data and analyzing quality measures, case mix index, and health record documentation compliance.
• Skills in data analysis, research, and error correction.
• Strong organizational and teamwork skills.
• Ability to present information effectively and respond to questions concerning statistics, coding, and transcription.
• Advanced computer skills, including Microsoft Word, Excel, and Outlook, and electronic medical records.
• Keyboarding speed of at least 50 words per minute.

Nice To Haves

• RHIT certification.
• Experience with Meditech or EPIC.

Responsibilities

• Ensure patient record documentation meets state and federal requirements for content, completeness, and timeliness.
• Code emergency department, outpatient, and inpatient accounts according to coding guidelines and for appropriate reimbursement.
• Review charts for accuracy and completeness for analytical, statistical, and patient-care purposes.
• Contact physicians and ancillary departments to obtain correct diagnoses needed to complete coding.
• Locate and wait for physicians, nursing staff, and therapists when necessary to obtain correct diagnoses.
• Record chart deficiencies in the ICR desktop promptly and provide healthcare staff with information needed to resolve them.
• Respond to calls from ancillary departments and physician offices regarding ICD-10 and CPT coding.
• Transcribe STAT dictations as a priority and complete other transcription as needed.
• Refer provider coding inconsistencies or errors to management when a trend or pattern is identified.
• Process requests for copies of medical records from healthcare facilities, telephone callers, and walk-in requesters, ensuring requests are properly completed.
• Assist the HIM Manager with release of information, scanning and validating paper documents, compiling statistics, gathering data for trauma and cancer registries, filing, transcription, and maintaining data dictionaries.
• Maintain healthy interpersonal relationships with staff and contribute to performance improvement in patient care.
• Follow applicable policies and procedures during emergencies or disasters.
• Wear personal protective equipment as required to maintain hospital infection-control standards.

What This Job Offers

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