Coder II

AHMC Healthcare•San Gabriel, CA

2d•Onsite

About The Position

The HIM Coding Specialist II is responsible for ensuring accurate and timely coding of patient records in accordance with established guidelines and regulations. This role requires a comprehensive understanding of ICD-10-CM, ICD-10 PCS, and CPT conventions, as well as the ability to abstract data into the Evident/Thrive system using the 3M encoder. The specialist will collaborate with internal and external stakeholders to maintain coding quality and efficiency, while also safeguarding patient privacy and complying with HIPAA regulations. A key responsibility is to ensure all patient records are coded within the bill-hold limits (4 days) and pass the SMART cycle adjustments.

Requirements

A minimum of four years coding experience in a hospital Health Information Management Department.
High School Diploma or equivalent
Must have good communication skills
Must be able to read and write English
Must be computer literate
Ability to use tact and diplomacy when interacting with the staff and customers.
Certified Coding Assistant or Certified Coding Specialist credentials from AHIMA
A minimum score on the AHMC Coding Examination of 95%
RHIT, RHIA, or CCS.

Responsibilities

Accurately reviews all records that are flagged by SMART and other reviews as required.
Ensures that all charts are coded within their bill hold limits.
Works with outside auditors and consultants ensuring the quality of coding within the department.
Reviews all charts that may be in questions in regards to billing and coding.
Replies to external auditor regarding coding issues within 7-14 days.
Compiles and maintains productivity reports on all coders.
Educates and trains coding staff on an as needed basis.
Accurately reviews all charts for diseases and procedures performed and assign appropriate ICD-9-CM and CPT codes according to guidelines.
Accurately enters appropriate diagnoses and operative codes into the MIRA coding system computer.
Code four (4) inpatient or eight (8) outpatient charts within one (1) hour.
Works with endcoder optimizer feature to produce principal diagnosis scenarios for attending physician review according to department practice.
Accurately codes and abstracts short stay surgeries and ER charts onto the outpatient abstract.
Accurately codes outpatient referred cases and clinic visits onto the diagnosis verification screen.
Works with case managers to obtain concurrent information when deemed necessary.
Performs concurrent coding on inpatient records selected by the business office.
Serve as an accurate resource to physicians and hospital personnel regarding assignment of principal diagnosis, sequencing of diagnoses and DRG assignment.
Reviews OSHPD reports weekly and makes appropriate corrections.
Works with HIM Director to complete evaluations for other coders within the department.
Runs inpatient abstracts through the 3M encoder for DRG assignment.
Prepares coding summary sheet for the chart.
Does data searches for retrieval of information from the indices.
Bar code all charts.
Performs other duties as assigned.