HIM Coder

ACCESS Community Health Network • Chicago, IL

4d

About The Position

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 student loan forgiveness programs for qualifying individuals
• 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
• Number of Employees: 251-500 employees