Coder III

Role Description

ChristianaCare is currently seeking a full-time Coder III to be responsible for accurate and timely assignment of ICD 10 CM/PCS and HCPCS/CPT codes, payment group classification assignment and data abstraction for reimbursement purposes and statistical information reporting on all Inpatient, Outpatient, Emergency Medicine, Ancillary and Diagnostics records, and/or any other patient records for which HIMS Department performs coding services. Meets or exceeds productivity and accuracy standards outlined in the HIMS Coding Policies and Procedures.

• Reviews and interprets Inpatient, Outpatient, Ancillary, Diagnostics and Emergency Medicine or other patient type records to assign appropriate ICD 10 CM/PCS diagnosis and procedure codes and/or HCPCS/CPT procedure codes.
• Performs coding and abstracting tasks to support accurate and timely billing, data quality and statistics, and calculation of severity of illness and risk of mortality reporting.
• Follows UHDDS definitions, CMS regulations, and Official and Internal Coding Guidelines.
• Utilizes information on diagnostic reports (i.e., radiology, pathology, EKG reports, laboratory values, doctors’ orders, and administrative medication forms) to accurately code patient charts.
• Completes daily work assignment as directed by Coding Support.
• Works within service line structure where applicable based on patient type.
• Serves as a mentor to newer coders in the Coder Position or coders who are being trained in a new coding discipline.
• Abstracts pertinent data, determines, and sequences codes for diagnoses and procedures, and enters all information into the coding and abstracting system.
• Utilizes coding and abstracting system as a communication tool, as outlined in the HIMS Coding DNFB Tagging procedures.
• Receives feedback and reviews charts with a member of the Coding Management Team for accurate code assignment.
• Provides all necessary coded and abstracted information required for final coding and billing of accounts within productivity expectations.
• Reviews prepopulated patient demographic information fed via HL7 from source system into coding system and makes necessary abstracted data changes.
• Utilizes coding system to calculate all inpatient encounters in both MS DRG and APR DRG groupers.
• Utilizes coding system to sequence CPT codes invoking the APC grouper methodology.
• Submits timely, accurate, and concise daily productivity reports in accordance with department policy and practice.
• Attends and participates in coding section and department meetings, inservice training sessions, seminars and workshops.
• Reports errors as identified in patient identification, account or encounter information, documentation or other medical record discrepancies.
• Supports the Coding Management team by working on special coding projects as assigned.
• Works with the HIMS Coding Systems Analyst under the direction of HIMS management to achieve the IT initiatives of the HIMS department.
• Works with the HIMS Coding Support Team under the direction of HIMS management to achieve the revenue cycle goals of the HIMS department.

Qualifications

• CCS credential required.
• College Degree in Health Information Management, Completion of AHIMA Approved Certificate Program, or one-year coding experience in the acute care setting coding Inpatient, Observation, Emergency Medicine or Same Day Surgery is required.
• Associate or Bachelor Science degree in Health Information Technology preferred.
• An equivalent combination of education and experience may be substituted.

Benefits

• Full Medical, Dental, Vision, Life Insurance, etc.
• 403(b) with company match.
• Generous paid time off.
• Incredible Work/Life benefits including annual membership to care.com, access to backup care services for dependents through View email address on remotive.com, retirement planning services, financial coaching, fitness and wellness reimbursement, and great discounts through several vendors.
• Hourly Pay Range: $27.31 - $40.96.