Job Description

Certified Coder Position

Greater Regional Health has a full time opportunity for a Certified Coder. While in this role the candidate will provide Coding for hospital accounts utilizing ICD-10-CM, ICD-10 PCS & CPT codes.

Major Tasks, Duties, and Responsibilities for Coders:

• Abstracts pertinent information, including discharge status codes and discharge time, from patient records for the purpose of reimbursement and statistical data collection.
• Assigns diagnostic and procedure codes for the purpose of reimbursement utilizing ICD-10-CM, ICD-10-PCS and/or CPT HCPCS codes in order to create APCs or DRG assignments.
• Uses all available coding references for coding guidance.
• Regularly review the HIM Coding Guidelines.
• Responsible for maintaining department productivity levels as established by department director and industry standards.
• Monitor weekly old accounts/claims with missing information and investigate the reason for the claims being held up in the coding/documentation process.
• Ensure all records are complete with the maximum amount of information needed in order to accurately code and release account and send to the main file.
• Queries physician when documentation is not straight forward, inadequate, ambiguous, or unclear for coding purposes.
• Routes and reroutes records for completion of deficiencies.
• May assign evaluation and management levels for Emergency Room accounts in preparation for billing the professional and technical charges.
• Assist with the hospital wide process of ensuring medical necessity is met on Medicare and Medicaid accounts.
• Checks charges in Epic to verify appropriate charges and ER levels. Alerts HIM Director and/or Business Office representative to correct charges.
• Checks charges in Epic for all other charges.
• Stays informed with the most up to date coding guidelines, reimbursement reporting requirements. Brings identified concerns to HIM Director for resolution.
• Helps ensure appropriate records are on the chart before coding.
• Utilize time clock or online time clock (ADP) for clocking in and out and checking hours.
• Assist with answering coding related calls. Maintain patient private information and protect operations by keeping information confidential.
• Utilizes Epic for access to accurate patient account information.

Skills, Education and Experience:

• Successful completion of ICD-10 training to include anatomy and physiology, ICD-10-CM, ICD-10-PCS courses (coders only) preferred.
• At least two years of coding experience is preferred.
• Medical transcription/coding certification recommended.
• Basic knowledge of medical terminology, anatomy, and medications recommended.
• Average keyboarding skills and computer knowledge required.
• Certifications accepted include CCS, CCS-P, CPC, CPC-H, as well as RHIT or RHIA

Hours for this position have the potential for flexibility after a probationary period has been completed. This position does have the option to work remotely! Staff are required to attend in person meetings on a regular basis.

Join our dynamic group of employees in our HIMS Department and become part of an outstanding team of staff who are committed to improving the health of the patients we serve with care and compassion!

For the 8th year in a row, Greater Regional has been named one of the Top 50 Workplaces in Iowa, which we credit to our employees shared cultural values. We are also proud to announce Greater Regional is one of the Top 100 Critical Access Hospitals in the nation 7 years running. Greater Regional offers an outstanding benefits package to all full-time employees which includes IPERS, tuition reimbursement, wellness screenings, wellness reimbursements, and more.

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