Remote PRN EKG Coder

Presbyterian Healthcare Services

3d•Remote

About The Position

Presbyterian is hiring a skilled Remote PRN EKG Coder to join our team. This is a PRN (as needed) position with varied days and hours, based remotely for workers in New Mexico. The role involves coding various medical records for reimbursement, research, and compliance with federal regulations using classification systems like ICD-10 CM and CPT-4. The coder will ensure adherence to hospital and departmental policies, abstract data for quality improvement, and manage accounts receivable by resolving pre-bill edits and denials. Maintaining up-to-date knowledge of coding guidelines and regulations is crucial, as is participating in departmental in-services and communicating issues to management. A minimum accuracy rate of 95% and average to high productivity are expected, along with maintaining continuing education requirements.

Requirements

High school diploma/GED required.
Must have any one of the following coding certifications at time of hire: HCS-D, CCS, CCS-P, CPC-H or CPC, or RHIT/RHIA with achievement of one of the coding credentials above within one year of hire.
One-three years experience as a coder required.
Must possess computer skills including, but not limited to, Word, Excel, PowerPoint.
Must be able to use the internet and other electronic resources for the purpose of research.

Nice To Haves

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

Responsibilities

Codes inpatient and/or outpatient hospital records, ED records, Home Health & Hospice records and/or professional fee services for PMG specialty providers for the purpose of reimbursement, research and in compliance with Federal regulation according to diagnosis, operation and procedure using the ICD-9/10 CM and CPT-4 classification system.
Ensures adherence to Hospital and Departmental Policies and Procedures.
Reviews patients entire current medical record, assigning appropriate codes including CPT, ICD and MS-DRG (as defined by UHDDS guidelines and CMS) to be used for financial reimbursement, research in accordance with Federal Regulations and Hospital and Departmental policies.
Abstracts data essential to the QI department in determining patient care issues as well as providing information to The Joint Commission.
Accesses several systems via the computer to research the medical record when needed to complete the coding in a timely manner.
Takes responsibility for accounts receivable by looking for lost documents to insure all encounters are coded, including the generation of appropriate queries, as needed.
Responsible for resolving any and all pre-bill edits, denials, etc for assigned accounts.
Maintains and disseminates up-to-date technical knowledge of legal and regulatory information from all appropriate jurisdictions concerning the given business area. This includes but is not limited to all ICD-9/10 CM, CPT-4, HCPCS, DRG, APC and/or HHRG updates and changes.
Participates in all departmental in-services and updates to stay current with the accepted coding guidelines and improve personal knowledge of medicine and treatment.
Communicates issues to the EW Clinical Coding Manager & Supervisor, as appropriate.
Must demonstrate knowledge of coding multiple areas of service and/or specialties.
Maintains at least a 95% accuracy rate.
Maintains average to high productivity based on PHS Productivity Standards.
Maintains continuing education (CE) requirements per PHS policy.