Work Shift:
Day (United States of America)Capital Health is the region's leader in providing progressive, quality patient care with significant investments in our exceptional physicians, nurses and staff, as well as advance technology. Capital Health is a five-time Magnet-Recognized health system for nursing excellence and is comprised of 2 hospitals. Capital Health Medical Group is made up of more than 250 physicians and other providers who offer primary and specialty care, as well as hospital-based services, to patients throughout the region.
Position Overview:
HIM Coder (C)
COST CENTER:000000
JOB CODE:53330
FLSA Exemption Status:Non-Exempt
Telecommuting Eligible:Yes
SUMMARY (BASIC PURPOSE OF THE JOB)Assigns codes accurately to diagnoses and procedures within the medical record to comply with federal and state regulations. Sequences codes accurately for proper and optimal DRG assignment. Queries physicians or hospital staff as needed to ensure proper assignment of codes. Abstracts data from the medical records and assures that all required elements are appropriately entered into the hospital information system. Performs other duties as assigned.MINIMUM REQUIREMENTSEducation:High school diploma or GED. CCS, CIC, COC, CPC-H, or CPC-A certification required.
Experience:No previous experience required.
Other Credentials:
Knowledge and Skills:Possesses excellent organizational, interpersonal, verbal, and written communication skills. Has vigilance and keen attention to detail. Possesses proper phone and email etiquette for frequent hospital and private provider exchanges. Excellent time management to meet deadlines and productivity targets. Intermediate computer skills.
Special Training:Thorough knowledge of medical terminology, anatomy, and physiology. Understanding of ICD-10 and CPT coding classifications. Knowledge of 3M encoder, Cerner EHR, HBOC, and OnBase preferred. Ensures compliance with medical coding policies and guidelines.
Mental, Behavioral and Emotional Abilities:Ability to work independently in a remote environment. Ability to work under pressure. Ability to work in a fast paced environment with ability to meet productivity standards. Ability to interact effectively with other staff members to complete certain aspects of job.
Usual Work Day:8 Hours
REPORTING RELATIONSHIPSDoes this position formally supervise employees? No
If set to YES, then this position has the authority (delegated) to hire, terminate, discipline, promote or effectively recommend such to manager.
ESSENTIAL FUNCTIONSAssigns codes with high accuracy rate in accordance with coding guidelines. Completes coding according to established time frame and ensures reduced DNFB accounts.Maintains excellent accuracy rate for proper sequencing of codes for proper DRG assignment per coding guidelines.Discusses medical record information with physicians when necessary in accordance with coding guidelines.Contacts physicians or other staff to obtain missing documentation or signatures timely in an effort to reduce DNFB accounts.Abstracts data with a high accuracy rate in accordance with established policy.Adapts to changing department demands evidenced by higher department efficiency.Performs other duties as assigned.PHYSICAL DEMANDS AND WORK ENVIRONMENTFrequent physical demands include:
Occasional physical demands include:
Continuous physical demands include:
Lifting Floor to Waist 25 lbs. Lifting Waist Level and Above 25 lbs.
Sensory Requirements include: Accurate Near Vision, Minimal Hearing
Anticipated Occupational Exposure Risks Include the following: Uneven Surfaces or Elevations , Dust/Particulate Matter
Offers are contingent upon successful completion of our onboarding process and pre-employment physical. Capital Health will require all applicants (including contractors, travelers and consultants) to have an annual flu vaccine prior to start date, with the exception of individuals with medical and religious exemptions.
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