Medical Coder Full Time Days

McPherson Hospital -

Job Description : Medical Coder

Department :  Health Information Management (HIM)

Full Time Days

Job Summary :   Assign diagnosis and procedures codes to patient accounts to ensure accurate and timely claims to be submitted to payers for reimbursement. This position needs to be comfortable coding a variety of modalities including inpatient, observation, outpatient surgery, wound care, and Emergency Department.

Essential Accountabilities :

• Completes inpatient, observation, outpatient surgery, clinic and Emergency Department coding functions utilizing approved system workflow applications for coding, abstracting, and financial billing.
• Demonstrates the ability to achieve accurate, complete and consistent selection of principle and relevant secondary diagnosis and procedures; identifies complications / co-morbid conditions; and verifies discharge disposition codes. Knowledge of CMS MS-DRGs, Present on Admission indicators, Hospital Acquired Conditions, RHC requirements, CMS-CMGs and other quality indicators that impact reimbursement and public reporting.
• Queries physicians for clarification of documentation as directed by Coding Guidelines, CPT Assistant and facility specific guidelines. Ability to determine observation times and adjust for carve outs.
• Responds to billing edit queries from Patient Financial Services within departmental guidelines.
• Follows American Hospital Association (AHA) Coding Guidelines and other regulatory agency directives for ICD, CPT, and HCPCS II coding.
• Maintains current knowledge of coding issues by reading official coding guidelines such as AHA Coding Clinic, American Medical Association (AMA) CPT Assistant, WPS and CMS medical necessity regulations.
• Meets productivity and accuracy requirements consistently per HIM policy.
• Maintains professional certification as mandated by professional organizations (AHIMA, AAPC).
• Assists HIM management in orientation and training of new staff and contract coders, as required. Serves as resource and subject matter expert to other coding staff and hospital staff.
• Attend continuing education seminars via remote or on site as scheduled to maintain credentialing.
• May perform other duties as assigned.

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Benefits

We are an equal opportunity employer and prohibit discrimination / harassment without regard to race, color, religion, age, sex, national origin, disability, status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.