[Hiring] Coder IV @Franciscan Alliance, Inc.

Role Description

The Coder IV Specialist reviews electronic medical record documentation and applies ICD and CPT codes per Official Coding Guidelines, with a specific focus on professional major surgical services. This position abstracts key data elements necessary for billing and data analysis.

• Accurately reviews and codes patient records in the following clinical areas: hospitalist rounds and office visits (with repetitive or non-invasive procedures).
• Reviews and analyzes the content of the medical record to determine when documentation should be utilized for appropriate assignment of ICD diagnosis codes, CPT repetitive or non-invasive procedure codes, modifiers, hierarchical condition categories, complications, and comorbidities to meet coding guidelines.
• Evaluates appropriateness of diagnosis and procedure codes and modifiers utilized in response to Outpatient Code Editor and National Correct Coding Initiative edits.
• Meets defined coding accuracy standards.
• Meets defined coding productivity standards.
• Remains current with coding and industry changes through participation in educational opportunities.
• Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association/American Association of Procedural Coders and adheres to official coding guidelines.

Qualifications

• High School Diploma/GED - Required
• Associate's or Bachelor's Degree in Health Information Management - Preferred
• 4 years Coding - Required
• Cardiology Experience - Required
• CCS (Certified Coding Specialist) - American Health Information Management Association (AHIMA) - Required
• CCS-P (Certified Coding Specialist - Physician) - American Health Information Management Association (AHIMA) - Required
• CPC (Certified Professional Coder) - American Academy of Professional Coders (AAPC) - Required
• RHIT (Registered Health Information Technician) - American Health Information Management Association (AHIMA) within 180 days - Preferred
• RHIA (Registered Health Information Administrator) - American Health Information Management Association (AHIMA) within 180 days - Preferred

Requirements

• Travel is required: Never or Rarely

Benefits

Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.