[Hiring] Health Information Management Coder @Effingham Hospital, Inc.

Role Description

Are you interested in building a career with other TOP PERFORMERS? Committed to providing exceptional care and services in an environment that supports professional growth, diversity, and inclusion. Every team member's experience and work-life balance are a priority in our organization. EHS culture encourages and supports individuals in pursuing their career goals and well-being by providing work-life balance, flexible scheduling, career development, and all the benefits and perks you need for yourself and your family.

Job Summary

Under the general direction of the HIM Coder Supervisor in collaboration with the Executive Director, HIM, Compliance & Policy Review, the HIM Coder will:

• Collate and code procedures and tests.
• Ensure completeness and accuracy in the coding process in a timely manner.
• Support associated medical records functions in accordance with TJC, federal, state, and local guidelines, organizational and departmental policies, and procedures.
• Communicate with medical staff, other departments, and outside agencies while maintaining confidentiality.
• Function in a semi-autonomous role within a fast-paced, efficient, and productive remote work environment.

Standards of Performance

• Ensure adherence to proper infection control, OSHA, and safety standards.
• Abide by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adhere to Official Coding Guidelines.
• Query physicians and other healthcare providers when code assignments are not straightforward or documentation is inadequate, ambiguous, or unclear.
• Request any additional charges, test results, etc., from various departments to ensure timely coding on a daily basis.
• Utilize other EHS personnel to expedite any problems or questions that exist when necessary.
• Maintain productivity levels as established by the Executive Director, HIM, Compliance & Policy Review with a minimum 95% accuracy rate on all coded records.
• Seek out missing information and create complete records, including disease and procedure codes, point of origin code, discharge disposition, date of surgery, attending physician, consulting physicians, surgeons, and appropriate signatures/authorizations.
• Refer inconsistent patient treatment information/documentation to coding quality analysis, supervisor, or individual department for clarification/additional information.
• Complete assigned tasks in an appropriate timeframe and adjust to increased workload.
• Code all records within three days of discharge unless records require more information for coding purposes.
• Code at least 28 records per hour.
• Follow up on questions and/or problems to code the record in a timely manner.
• Demonstrate a consistent level of performance and a steady level of productivity while working remotely.
• Participate in continuing education.
• Handle coding for Method 2 Billing.
• Complete the Performance Improvement Report for Method 2 Billing.
• Print all reports, including MR Billing Report, Approved Claims Report, claims with missing information insurance report, Patient Index Report, Exceptions Report, and Incomplete Registration.
• Document coding productivity.
• Research policies for medical necessity.
• Handle Business Services requests on claims.
• Scan reports/records/data.
• Handle the QA report from Business Office Services once a month.
• Maintain the cancer registry.
• Participate in performance improvement initiatives as assigned.
• Perform other duties as necessary/required within scope of position and training.

Qualifications

• Minimum Level of Education: Education level equivalent to completion high school.
• Formal Training: None.
• Licensure, Certification, Registration: RHIA, RHIT, CCS, and/or CPC required. CCA and CPC-A certification will be accepted but must obtain the certifications listed above within the timeframe set up by AAPC or AHIMA within 12 months of hire date.
• Work Experience: Six months to one year of experience in coding.

Benefits

• Retirement plans 403 (b) and 457
• Health insurance
• Dental Insurance
• Vision insurance
• Prescription Drug Plan
• Hospital Discount
• Flexible spending account
• Paid time off
• Extended Days off (Sick time)
• Employee assistance program
• Strive365 Wellness Program
• Basic Life insurance (Employer Paid)
• Voluntary Life insurance/Accident/Critical Illness
• Disability (LTD and STD)
• Tuition reimbursement
• Legal and ID Shield
• Discounted Gym membership
• Cafeteria Payroll Deduction
• Employee Perks Program
• Student Loan Relief and Assistance
• Employee Rewards and Recognition Program
• Bereavement Leave