Remote IP Facility CCS Coder

Presbyterian Healthcare Services • Remote Workers New Mexico, NM

13d • $23 - $39 • Remote

About The Position

The IP Facility CCS Coder reviews and codes patient records for reimbursement, research, and regulatory compliance. Coding may cover inpatient and/or outpatient hospital records, emergency department records, Home Health and Hospice records, and/or professional fee services for specialty providers. The role uses applicable ICD-9/10-CM, CPT-4, HCPCS, DRG, APC, and/or HHRG classification systems and follows federal regulations and hospital and departmental policies.

This remote position is based in New Mexico and is full-time, non-exempt, with varied days and hours. The coder reviews complete current medical records; assigns appropriate codes, including CPT, ICD, and MS-DRG codes in accordance with UHDDS guidelines and CMS; abstracts quality-improvement data; researches records across computer systems; and helps ensure encounters are coded and accounts are resolved in a timely manner. The position also requires maintaining coding accuracy and productivity, staying current with coding and regulatory updates, participating in departmental education, and meeting continuing education requirements.

The stated compensation range is $22.79 to $38.80. Benefits-eligible employees receive medical, dental, vision, short- and long-term disability, group term life insurance, and other optional voluntary benefits. The employer also describes an employee wellness rewards program.

Requirements

• High school diploma or GED.
• At hire, hold at least one of the following coding credentials: HCS-D, CCS, CCS-P, CPC-H, or CPC; alternatively, hold RHIT or RHIA and obtain one of the listed coding credentials within one year of hire.
• One to three years of experience as a coder.
• Computer skills including Word, Excel, and PowerPoint.
• Ability to use the internet and other electronic resources for research.
• Maintain continuing education requirements per PHS policy.

Nice To Haves

• Experience with an encoder.
• Experience with an Electronic Medical Record.

Responsibilities

• Review the patient’s entire current medical record and assign appropriate CPT, ICD, and MS-DRG codes according to UHDDS guidelines, CMS requirements, federal regulations, and hospital and departmental policies.
• Abstract data needed by the Quality Improvement department to identify patient-care issues and provide information to The Joint Commission.
• Access computer systems to research medical records and complete coding in a timely manner.
• Help manage accounts receivable by locating missing documents and ensuring all encounters are coded, including generating appropriate queries when needed.
• Resolve pre-bill edits, denials, and other issues for assigned accounts.
• Maintain and share current technical knowledge of legal and regulatory information and coding updates, including applicable ICD-9/10-CM, CPT-4, HCPCS, DRG, APC, and/or HHRG changes.
• Participate in departmental in-services and updates to remain current with accepted coding guidelines and improve knowledge of medicine and treatment.
• Communicate issues to the EW Clinical Coding Manager and Supervisor, as appropriate.
• Demonstrate knowledge of coding across multiple service areas and/or specialties.
• Maintain at least a 95% accuracy rate and average-to-high productivity under PHS Productivity Standards.
• Maintain continuing education requirements under PHS policy.

Benefits

• Medical insurance
• Dental insurance
• Vision insurance
• Short-term disability insurance
• Long-term disability insurance
• Group term life insurance
• Other optional voluntary benefits
• Employee wellness rewards program, with opportunities to earn gift cards through wellness activities

What This Job Offers

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