Inpatient Professional Services Coder I - Health Information Management - Remote Work Schedule

Salary: 27.00-39.00 :USD

The Alaska Native Tribal Health Consortium is a non-profit Tribal health organization designed to meet the unique health needs of Alaska Native and American Indian people living in Alaska. In partnership with the more than 171,000 Alaska Native and American Indian people that we serve and the Tribal health organizations of the Alaska Tribal Health System, ANTHC provides world-class health services, which include comprehensive medical services at the Alaska Native Medical Center, wellness programs, disease research and prevention, rural provider training and rural water and sanitation systems construction.

ANTHC is the largest, most comprehensive Tribal health organization in the United States, and Alaska’s second-largest health employer with more than 3,100 employees offering an array of health services to people around the nation’s largest state.

Our vision: Alaska Native people are the healthiest people in the world.

ANTHC offers a competitive and comprehensive Benefits Package for all Benefit Eligible Employees, which includes:

• Medical Insurance provided through the Federal Employee Health Benefits Program as a Tribal Employee, with over 20 plans and tiers.

• Cost-Share Dental and Vision Insurances

• Discounted Pet Insurance

• Retirement Contributions with Pre-Tax or Roth options into a 403(b).

• Retirement Match and Discretionary. ANTHC matches up to 5%, with a 3% discretionary contribution after one year of employment into a 401(a).

• Paid Time Off starts immediately, earning up to 6 hours per pay period, with paid time off accruals increasing based on years of service.

• Twelve Paid Holidays

• Paid Parental Leave or miscarriage/stillbirth eligibility after six months of employment

• Basic Short/Long Term Disability premiums, Accidental Death and Dismemberment (AD&D) Insurance, and Basic Life Insurance are covered 100% by ANTHC, with additional options for Short-Term Disability Buy-Up Coverage and Voluntary Life for yourself and your family members.

• Flexible Spending Accounts for Healthcare and Dependent Care.

• Ancillary Cash Benefits for accident, hospital indemnity, and critical illness.

• On-Site Child Care Facility with expert-designed classrooms for early child development and preschool.

• Employee Assistance Program with support for grief, financial counseling, mental/emotional health, and discounted legal advice.

• Tuition Discounts for you and your eligible dependents at Alaska Pacific University.

• On-Site Training Courses and Professional Development Opportunities.

• License and certification reimbursements and occupational insurance for medical staff.

• Gym Access to Alaska Pacific University includes a salt water pool, rock climbing, workout gym, and steep discounts for outdoor equipment rentals.

• Emergency Travel Assistance

• Education Assistance or Education leave eligibility

• Discount program for travel, gym memberships, amusement parks, and more.

Visit us online at www.anthc.org or contact Recruitment directly at HRRecruiting@anthc.org.

Alaska Native Tribal Health Consortium has a hiring preference for qualified Alaska Native and American Indian applicants pursuant to P.L. 93-638 Indian Self Determination Act.

Summary:
Under direct supervision of the coding manager, is responsible for reviewing inpatient clinical documentation, procedural information, and diagnostic results to apply ICD-10-CM and CPT codes to the professional encounter. Utilizes software systems and appropriate resources to achieve accurate and compliant coding.

Responsibilities:
All
Reviews inpatient clinical documentation, procedural information, and diagnostic results to apply ICD-10-CM and CPT codes, ensuring appropriate codes are selected and modifiers are appended to visits with length of stay under 5 days, including surgical visits.
Abstracts appropriate information from the medical record based on the guidelines provided by the organization.
Utilizes the coding query process to obtain additional information from providers by requesting clarity in the medical record and/or clearing up chart discrepancies.
Ensure all services documented in the patient’s medical records are coded with the appropriate diagnoses and procedure codes by using professional coding training and critical thinking skills.
Responsible for meeting and maintaining quality and productivity standards and guidelines as set by the organization.
Remains up-to-date on ICD-10 coding principles, governmental rules and regulations, official coding guidelines, and third party requirements as they relate to compliant documentation, coding, and billing practices.
Works collaboratively with providers, clinical documentation integrity specialists, compliance, quality and other departments of the organization on performance improvement initiatives.
Works with a variety of software solutions to optimize the performance of daily work.
Maintains the confidentiality of patient records and services.
Performs other duties as assigned or required.

Inpatient Professional Coder II
Master all Inpatient Professional Coder I duties and remain proficient for at least 1 year. Provides feedback and education to physician and professional staff regarding changes in coding methodology and optimized documentation practices for correct code assignment on moderate level accounts, under 12 days, including surgical accounts.
Helps to train Level 1 employees, reviews accounts that have been audited, and participates in performance improvement initiatives.
Participates in coding compliance plans, research and analysis, benchmarking, financial and strategic planning, and other customer requested projects. Retrieves and compiles data for reports as directed.

Inpatient Professional Coder III
Helps with training level I and II employees.
Works most complex inpatient accounts, including high dollar, long length of stay, and interim coding.

Other information:
KNOWLEDGE and SKILLS
All

• Knowledge of coding software.
• Knowledge of medical terminology, abbreviations, anatomy and physiology; major disease processes and pharmacology.
• Knowledge of classification systems, ICD-10-CM nomenclature, CPT and HCPCS nomenclature, coding rules, guidelines and proper sequencing.
• Knowledge of coding conventions and rules established by the American Medical Association (AMA), the American Hospital Association (AHA) and the Center for Medicare and Medicaid (CMS), for assignment of diagnostic and surgical procedural codes.
• Knowledge of The Joint Commission, Privacy Act of 1974, and HIPAA standards affecting medical records and the impact on reimbursement and accreditation.
• Knowledge of ethical coding principles and revenue cycle activities.
• Knowledge of the principles and practices of medical file and record management.
• Skill in reading medical records, and finding and resolving documentation discrepancies.
• Skill in operating computerized medical coding and information processing systems.
• Skill in operating a personal computer and utilizing a variety of software applications.
• Skill in understanding medical/surgical coding procedures and protocols.
• Skill in linking diagnosis to services and applying appropriate codes to diagnosis, procedures and supplies.
• Skill in using analytical and research modalities skills to define and solve problems.
• Skill in interpreting and applying ethical coding standards, federal and state laws and regulations; rules; policies and procedures; and professional practice standards for health care organization coding compliance program activities.
• Skill in effective verbal and written communication with peers, physicians and other hospital staff.
• Skill in writing reports and other materials.
• Skill in oral communication and presenting information to providers.

MINIMUM EDUCATION QUALIFICATION
All
High school diploma or GED and a certificate program in Coding.

MINIMUM EXPERIENCE QUALIFICATION
Inpatient Professional Coder I
One (1) year of professional medical/surgical coding experience. An equivalent combination of relevant education and/or training may be substituted for experience.

Inpatient Professional Coder II
Two (2) years of inpatient professional medical/surgical coding experience.

Inpatient Professional Coder III
Three (3) years of inpatient professional medical/surgical coding experience.

MINIMUM CERTIFICATION QUALIFICATION
All – a minimum of one of the below certifications is required:
Certified Professional Coder Associate (CPC-A)
Certified Coding Associate (CCA)

Inpatient Professional Coder II & III – a minimum of one of the below certifications is required:
Certified Professional Coder Associate (CPC-S)
Certified Professional Coder (CPC)
Certified Coding Specialist (CCS)
Certified Coding Specialist – Physician (CCS-P)
Certified Coding Specialist – Hospital (CCS-H)
Registered Health Information Technician (RHIT)
Registered Health Information Administrator (RHIA)

Salary : $27