What are the responsibilities and job description for the Health Information Coder position at Illuminus?

Job Description

Description :

Illuminus is seeking a full-time Health Information Coder to join our team. The Coder is responsible for extracting relevant clinical details from patient records to assign accurate diagnostic codes while ensuring compliance with all state and federal regulations and coding guidelines.

This position will work generally Monday - Friday from 8 : 00am - 4 : 30pm onsite at our office located at 2970 Chapel Valley Road in Fitchburg, Wisconsin.

Responsibilities

Maintains and actively promotes effective communication with all individuals.
Maintains a positive image of the entity in the community keeping in alignment with our mission, vision, and values.
Maintains working knowledge of laws, regulations, and industry guidelines that impact compliant coding while practicing ethical judgment in assigning and sequencing codes for proper reimbursement.
Researches and analyzes health records to verify clinical documentation supports diagnosis procedure, and treatment codes.
Assigns accurate codes for diagnoses and services in accordance with ICD-10-CM, CPT, and HCPCS coding rules and guidelines. Maintain 95% accuracy rate.
Ensures coding practices comply with federal and state regulations, including HIPAA and CMS guidelines.
Analyzes health record to ensure accuracy and identifies missing information or documentation deficiencies.
Query physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes.
Serves as a resource and subject matter expert providing coding education to support providers and other internal departments as necessary.
Participates in quality assurance and improvement efforts. Researches, analyzes and recommends actions to correct discrepancies and improve coding accuracy and efficiency.
Maintains confidentiality, privacy and security in all matters pertaining to this position.
Performs other duties, as assigned.

Requirements :

High School education or equivalent.

Certification through AAPC or AHIMA (CPC, CCA, CCS, RHIT, or RHIA) or ability to obtain within three months of start date.

One (1) year of coding experience preferred.

Strong understanding of medical terminology, anatomy and physiology, pathophysiology, and pharmacology.

Knowledge and understanding of regulatory and coding guidelines (CMS, HIPAA).

Knowledge of Patient Driven Payment Model (PDPM) reimbursement system, medical necessity, and denials preferred.

Proficiency in Electronic Health Record (EHR) systems, and Microsoft Office applications.

Strong organizational, analytical, and problem-solving skills, and attention to detail.

Strong Keyboarding and filing abilities.

Ability to exhibit professionalism, flexibility, dependability, and a desire to learn.

Ability to effectively communicate with internal and external stakeholders at various levels in a tactful and courteous manner in verbal, nonverbal, and written forms.

Commitment to quality outcomes and services for all individuals.

Ability to relate well to all individuals.

Ability to maintain and protect the confidentiality of information.

Ability to exercise independent judgment and make sound decisions.

Ability to adapt to change.

Benefits

Health, Dental, & Vision Insurance

Health Saving Account with Company Contributions

401(k) with Company Match

Financial and Retirement Planning at No Charge

Paid Time Off and Holidays acquired from day one of hire

Basic Life Insurance & AD&D - Company Paid

Short Term Disability - Company Paid

Voluntary Ancillary Coverage

Employee Referral Bonus Program

Employee Assistance Program

If you are an individual with great attention to detail and accuracy, a passion for people and a desire to make a difference, we encourage you to apply for this exciting opportunity. We offer competitive compensation, benefits, and professional development opportunities. We invite you to apply today or visit our website for more information. We'd look forward to meeting you!

Illuminus is a faith-based, not-for-profit senior living management company dedicated to serving older adults and families throughout the Midwest with skill and compassion. We own or manage over a dozen communities in Wisconsin and beyond, offering independent senior housing, assisted living and memory care, skilled nursing and rehabilitation, low-income senior housing, home health and hospice services via Commonheart management support and consulting.

The people of Illuminus are not just our colleagues, our employees, our residents—they are our parents, our grandparents, our partners, ourselves. We serve others with gratitude, dignity, hope and purpose. We believe that the right care can and will transform us all.

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