Specialty Coder Senior - Coding PB

CHRISTUS Health•Tyler, TX

1d•Remote

About The Position

Selected by CHRISTUS Health Coding Leadership, the Specialty Coder focuses coding skills and expertise on designated high-dollar or specialty Inpatient or Outpatient account types. The role maintains current, high-quality ICD-10-CM, ICD-10-PCS and/or CPT coding for diagnoses and procedures by reviewing clinical documentation and diagnostic results, with a consistent coding accuracy rate of 95% or better. The coder abstracts data into applicable CHRISTUS Health electronic medical record systems, verifies patient dispositions and physician data, and follows official ICD-10-CM and ICD-10-PCS coding and reporting guidelines and AMA CPT guidelines. The coder works collaboratively with CHRISTUS Health departments, including HIM and Clinical Documentation Specialists, to support accurate and complete physician documentation, accurate billing, and reduced denials. The position may also assist in other department areas as requested by leadership. It reports directly to the Regional Coding Manager, with additional leadership from the Director of Coding Operations and System HIM Director.

Requirements

High school diploma or equivalent years of experience.
Strong written and verbal communication skills.
Ability to work independently in a remote setting with little supervision.
Meet or exceed a 95% coding accuracy rate.
Meet or exceed the designated CHRISTUS Health productivity standard per chart type.

Nice To Haves

Completion of an accredited baccalaureate program in Health Informatics or Health Information Management, or an AHIMA-approved Coding Certificate Program.
1–3 years of experience preferred.

Responsibilities

Meet the expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
Assign diagnosis, treatment, and procedure codes according to ICD-10-CM/PCS Official Guidelines for Coding and Reporting, reviewing critical coding documentation to generate the appropriate MS/APR DRG.
Abstract required information from source documentation into the appropriate CHRISTUS Health electronic medical record system.
Validate admit orders and discharge dispositions.
Work assigned coding queues, completing and reassigning accounts correctly.
Manage accounts on ABS Hold and finalize accounts promptly after corrections are made.
Meet or exceed a coding accuracy rate of 95% and the designated CHRISTUS Health productivity standard for each chart type.
Follow AHIMA Standards of Ethical Coding.
Assist in implementing solutions to reduce backend errors.
Identify and appropriately report hospital-acquired conditions (HAC).
Query providers for missing or unclear documentation, working with HIM and Clinical Documentation Improvement Specialists.
Participate in internal and external audit discussions.
Assist in other work duties as assigned by the Manager.