HIM Coder, Certified, Remote

Remote, USA Full-time
About the position The HIM Coder is responsible for reviewing patient records and assigning accurate codes for each diagnosis and procedure on the accounts assigned to them. This role requires knowledge of medical terminology, disease processes, and pharmacology, as well as demonstrated data quality and integrity skills. The coder will perform chart verification and final chart reviews as necessary. The position is fully remote and can be part-time (20-32 hours per week) or full-time (40 hours per week), with hours subject to change based on business necessity. Responsibilities • Review and abstract patient medical records. • Report diagnoses, treatments, and surgical and non-surgical procedures for CAH facility medical services. • Perform coding duties of discharged patient medical records using various coding guidelines. • Correctly assign ICD-10-CM/PCS and CPT/HCPCS codes creating APG group assignments. • Abide by the standards of AHIMA Standards of Ethical Coding. • Query physicians when documentation in the record is inadequate, ambiguous, or unclear for coding purposes. • Report unusual findings to the supervisor when coding. • Ensure code assignment is supported by provider documentation. • Maintain professional competency and knowledge of third-party payer and QIO regulations. • Comply with HIPAA and demonstrate discretion and integrity. • Work with minimal supervision. • Perform other duties as assigned. Requirements • A minimum of high school diploma plus successful obtainment and maintenance of AHIMA credential (CCS, CCS-P, RHIT, or RHIA). • Two years of coding and abstracting experience in ICD-9 CM/ ICD10-CM and PCS, DRGs and CPT including modifiers and APCs. • Thorough knowledge of related Prospective payment systems (PPSs) and CAH payment methodology. • Broad knowledge of pharmacology indications for drug usage and related adverse reactions. • Knowledge of ancillary testing (laboratory, X-ray, EKG). • Knowledge of anatomy, physiology, and medical terminology. • Understanding of coding practices and guidelines. • Experience with PC and 3M encoding systems. • Auditing skills for coding quality and compliance. • Strong process management skills. • Good communication skills in working with the public and co-workers. • Basic knowledge of MS Excel. Apply tot his job
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