Medical Records Coder and Abstractor II

TriHealth•Norwood, OH

3d•Remote

About The Position

At TriHealth, our corporate team thrives on a service-oriented mindset grounded in inclusivity, innovation, and collaboration. We cultivate a supportive culture where every team member is valued, empowered, and given a true sense of belonging. When you join us, you become part of a community that invests in your personal well-being and your professional future. You’ll experience meaningful growth and development opportunities, excellent benefits, and a workplace where people actively support one another and share best practices every day. Here, your contributions matter—and together, we make a lasting impact. This is a work from home role that requires the team member to live in the Greater Cincinnati/Northern Kentucky area. Reviews and interprets clinical documentation to assign accurate and complete codes, modifiers, MSDRG's, APR-DRG's, SOI, ROM, POA indicators, discharge dispositions and any other clinical data elements required for appropriate reimbursement. Understands and applies reimbursement processes under federal compliance guidelines. Abstracts demographic and clinical data into hospital health information system(s) such as HDM, Epic, or other currently in use. Performs and responds to data quality checks and payer/claims issues. One may specialize in one or more of the standard functions. Specific assignments will vary from day to day based on the needs of the department.

Requirements

Currently enrolled in an approved program for specific field of study.
Proficiency in ICD and CPT coding
DRG’s
MSDRG’s
POA indicators
Post-acute transfer rules
Disposition status
Disease process and treatment
Anatomy and medical terminology
Clinical documentation requirements
AHIMA RHIT - Registered Health Information Technician
RHIT - Registered Health Information Technician Continuing education pursued in accord with requirements of the accrediting bodies. within 180 Days
RHIA - Registered Health Information Administrator
RHIA - Registered Health Information Administrator Continuing education pursued in accord with requirements of the accrediting bodies. within 180 Days
CCS - Certified Coding Specialist
CCS-Certified Coding Specialist Continuing education pursued in accord with requirements of the accrediting bodies. within 180 Days
Other Certified Professional Coder (CPC) may be substituted at the hiring manager’s discretion. within 180 Days
CCA – Certified Coding Assoc
CCA - Certified Coding Associate may be substituted at the hiring manager’s discretion. within 180 Days

Nice To Haves

Engaged team member.
Highly regarded for their work and leadership.
Positive role model and has influence on peers.
Displays confidence and initiative.
Volunteers to be a part of educational training sessions, volunteers for minutes and reflections for meetings.
Goes out of the way to be an interactive part of the coding team.
Attends all team meetings, takes advantage of extra educational opportunities, student mentoring education, team member ambassador program, etc. as needed/requested.

Responsibilities

Independently and confidently delivers high quality results utilizing coding resources and provided education.
Reviews and interprets clinical documentation to assign accurate and complete codes, modifiers, DRG’s, and POA indicators.
Consistently meets monthly productivity goals set by department.
Abstracts demographic and clinical data into hospital health data management systems.
Discharges dispositions and other required data elements.
Problem solves and develops solutions when raising issues.
Completes all bright ideas and required trainings on time.