HIM Coder

ACCESS Community Health Network • Chicago, IL

23h

About The Position

If you want to work for a mission-driven organization that’s impacting community health care both on a local and national level, then Access Community Health Network (ACCESS) may be the perfect place for you. As a nationally recognized leader in community health, we continue to innovate and improve our integrated care model to address the total health and wellness of our patients. Our dedicated staff are committed to advancing health equity and making a long-term impact on the health outcomes of the more than 150,000 patients that count on ACCESS as their medical home each year. Position Summary The HIM Coder is responsible for reviewing provider documentation and assigned procedure and diagnosis codes, modifying them as necessary. This role focuses primarily on office-based Evaluation and Management (E&M) services. The coder also identifies patterns of documentation or coding errors and reports them to the HIM Manager to support the development of corrective action plans.

Requirements

• High School Diploma or equivalent
• One of the following certifications: CPC, CPC-P, or CCS-P, RHIT or RHIA with the American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA)
• Six months of medical coding experience, will consider coding practicum experience

Nice To Haves

• Associate degree
• Six months of working within an electronic health record system (Epic preferred)

Responsibilities

• Complete coding assignments in accordance with FQHC coding and reimbursement guidelines, maintaining minimal error rates
• Assign or review ICD-10 diagnosis and CPT/HCPCS codes with appropriate modifiers, ensuring accuracy and compliance with payer policies and regulatory requirements
• Apply FQHC-specific coding guidelines for Medicaid, Medicare, and commercial plans
• Work within assigned charge review, claim edit, and follow-up work queues; respond to system edits and assign codes/modifiers per established guidelines
• Interpret basic payer guidelines for coding and claim submission; collaborate with the HIM Manager for clarification when needed
• Accurately code charges to ensure clean claim submission to all payers
• Resolve most coding-related issues with patients and payers
• Demonstrate familiarity with NCDs, LCDs, and NCCI edits
• Communicate with providers regarding documentation and coding issues under the direction of the HIM Manager

Benefits

• Tuition reimbursement and scholarship program
• Comprehensive healthcare coverage including Medical, Dental, and Vision
• Generous PTO after introduction period
• 403(B) retirement plan and financial resources to help you save and plan for your retirement
• Life Insurance
• Opportunity to participate in cross-departmental committees to innovate and transform our care delivery model and our workplace

What This Job Offers

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