HIM Coder III (Remote)

Schedule

Full-time: 40hrs/week

Schedule: Monday - Friday, day shift

Work from home

General Summary

Collects, reviews, retrieves and codes data by careful review and analysis of documentation of inpatient medical records, assigning the appropriate ICD-10 codes for the purposes of compliance with regulations, statistical compilation, clinical research, clinical care analysis, provider profiling and optimal reimbursement.

Duties and Responsibilities

Essential Functions:

• Reviews entire current electronic medical record for pertinent diagnoses and procedures.
• Assigns diagnoses and procedure codes on inpatient records in accordance with established organization guidelines.
• Uses ICD-10 CM and PCS coding methodologies following Official Guidelines for Coding and Reporting using encoding software.
• Queries physicians to clarify documentation needed for coding purposes per established departmental policy.
• Performs abstraction of clinical and demographic data as pertinent to the account requirements.
• Participates in documentation improvement program using 3M software and communicating with Clinical Documentation Specialist regarding DRG assignment.
• Performs other duties that may be assigned by authorized personnel or as required to meet emergency needs of the department or Hospital.

Common Expectations:

• Maintains job specific standards and expectations relative to productivity and quality.
• Maintains established policies and procedures, objectives, quality assessment and safety standards.
• Participates in educational programs and in-service meetings.
• Maintains professional growth and development and professional credentials.
• Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.

Required for All Jobs:

• Performs other related duties as identified.
• WellSpan Health has adopted and implemented a compliance program to support WellSpan's values and standards for professionalism, integrity, and ethics. Expected to support and meet the values and standards of the organization and the performance expectations of the job, the department, and the compliance program.
• WellSpan Health has adopted and implemented a privacy program to safeguard the patient information and the business and operational information of the organization. Expected to support and meet the values and standards of the organization to safeguard patient and business/operational information.

The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.

Physical Demands:

• Standing - Occasionally
• Walking - Occasionally
• Sitting - Frequently
• Reaching - Rarely
• Talking - Frequently
• Hearing - Frequently
• Repetitive Motions - Occasionally
• Eye/Hand/Foot Coordination - Occasionally

Qualifications

Minimum Education:

• High School Diploma or GED Required
• Associates Degree Preferred or
• Bachelors Degree Preferred

Work Experience:

• 3 years medical coding Required
• 3 years inpatient coding Preferred

Licenses:

• Certified Professional Coder Upon Hire Required or
• Certified Coding Associate Upon Hire Required or
• Certified Coding Specialist Upon Hire Required or
• Registered Health Information Technician Upon Hire Required or
• Registered Health Information Administrator Upon Hire Required or
• Certified Professional Coder Apprentice Upon Hire Required

Knowledge, Skills, and Abilities:

• Knowledge of ICD-10
• Knowledge of medical terminology, anatomy, and physiology
• Basic computer skills