Coder II

Job Description:

The purpose of this position is to assign ICD-10 CM diagnosis and procedure codes with the appropriate DRG assignment for inpatient encounters, ICD-10-CM diagnosis and procedure codes, CPT-4 procedure codes, and APC assignment for outpatient encounters. This is to ensure a valid database used for research, reporting, quality improvement activities, reduce days not final billed (DNFB), and appropriate reimbursement.

Scope

1.Assigns ICD, CPT and HCPCS coding classifications based on clinical documentationand/or physician orders. Utilizes appropriate tools, resources and guidelines to determine codes and assigns first listed diagnosis and secondary diagnoses. Obtains clarification from physicians, clinical departments and others on documentation questions, as needed. Performs coding at an advanced level of coding complexity. Codes complex diagnoses, CPT and assigns modifiers for multiple facilities. Codes combinations of outpatient hospital charts.
2. Maintains assigned work queues within defined processing timeframe and meets or exceeds productivity standards.
3. Verifies data abstracted and entered from the EMR. Ensures integrity of the database for internal and external data reporting.
4. Responds in a timely manner to inquires from Revenue Services related to use of codes and modifiers within the billing process to assure accuracy and avoid delays in the billing process.
5. Adheres to all compliance guidelines, both internal and external. Participates in continuing education programs to maintain an understanding of anatomy, physiology, medical terminology, disease processes and surgical techniques to support the effective application of coding guidelines and maintain credentials.
6. Promotes mission, vision, and values of SCL Health, and abides by service behavior standards.
7. Performs other duties as assigned.

Minimum Qualifications

Required
High School Diploma or equivalent
Registered Health Information Administrator (RHIA), Registered Health Information Technician(RHIT), OR certified Coding Specialist (CCS) credential through American Health Information Management Association (AHIMA) OR completion of coding certification through American Academy of Professional Coders (AAPC) with coding certification of Certified Professional Coder(CPC) or Certified Outpatient Coder (COC) or Certified Inpatient Coder (CIC) or Certified Coding Associate through AHIMA (CCA) required

Preferred
Associate Degree in Health Information or in a Healthcare related field

Minimum of three years coding experience in a hospital or acute care setting is required, using both ICD and CPT coding preferred

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements list must be representative of the knowledge, skills, minimum education, training, licensure, experience, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Required:
1. Successful completion of internal coding exam.
2. Navigates multiple software systems effectively and efficiently.
3. Utilizes critical thinking thought process to assign appropriate clinical diagnosis and procedure codes in accordance with nationally recognized guidelines.
4. Maintains knowledge of CPT codes assigned by departments at the time of charging and alerts departments when improper CPT codes are entered to assure accurate billing of accounts. Computer skills and 10-key typing proficiency.
5. General software skills with MS Office products, including Word and Excel.
6. Strong communication and integrity skills, both verbal and written, in order to interpret medical documents and communicate effectively with medical professionals especially related to compliance guidelines .
7. Ability to work independently in a remote environment.
8. Demonstrates attention to detail for accuracy requirements.
9. Familiar with coding software such as 3M encoder, Epic and computerized assisted coding applications.
10. Regular attendance to perform work on site during regularly scheduled business hours or scheduled shifts is required
1
1. Ability to work nights and/or weekends is required for identified positions

Hearing/listening, lifting, manual dexterity, pulling/pushing, seeing, sitting, speaking, squatting/kneeling, standing, and walking.

Location:

Intermountain Health St Vincent Regional Hospital

Work City:

Billings

Work State:

Montana

Scheduled Weekly Hours:

40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

$19.85 - $30.21

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits package here.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

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