Role Description
The HIM Coder Analyst I requires knowledge of and skill in applying International Classification of Diseases and Procedures (ICD), and Current Procedural Terminology (CPT) code sets and associated Medicare/Medicaid rules and guidelines. Key responsibilities include:
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Reviewing and interpreting patient medical record documentation to identify pertinent diagnoses and procedures.
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Assigning ICD-10-CMPCS and CPT 4 codes accurately and timely to the highest level of specificity based upon physician documentation for emergency department and outpatient clinic.
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Abstracting specified information from the patient medical record and entering the data into the electronic health record system for billing and reporting.
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Maintaining a minimum expected accuracy rate for all coding of 95% or above.
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Communicating with physicians and other providers regarding documentation requirements.
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Collaborating with Clinical Documentation Specialists regarding documentation and coding requirements.
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Maintaining current knowledge of coding and documentation changes, rules, and guidelines.
A successful candidate would have the ability to:
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Work well independently and productively with minimal guidance and without direct supervision.
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Demonstrate attention to detail and good organization.
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Exhibit strong interpersonal and communication skills.
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Maintain confidentiality and be goal-oriented, flexible, and energetic.
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Demonstrate coding and critical thinking skills.
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Appropriately solve problems using job knowledge and current policies and procedures.
Qualifications
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High Preferred (one or more of the certifications):
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Registered Health Information Administrator (RHIA)
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Registered Health Information Technician (RHIT)
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Certified Coding Specialist (CCS)
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Certified Professional Coder (CPC)
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One (1) year current and continuous full-time ICD-10 & CPT-4 coding experience.
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Technically competent and fluent knowledge in navigation of electronic health record applications, automated encoders, and other software applications and hardware required for job role.
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Proficiency in Microsoft Office Excel and Word.
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Demonstrated coding knowledge and proficiency required through on-site skills assessment with a passing score of 90% accuracy prior to hire.
Requirements
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Preferred Certifications:
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Registered Health Information Administrator (RHIA)
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Registered Health Information Technician (RHIT)
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Certified Coding Specialist (CCS)
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Certified Professional Coder (CPC)
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Candidates with AHIMA credentials must provide current continuing education (CE) records.
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Candidates Without a Current Credential Must Meet One of the Following Requirements:
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Experienced Coders:
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Provide documentation of extensive coding experience.
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Submit educational certificates demonstrating completion of coursework in:
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Anatomy
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Pathophysiology
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Medical Terminology
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ICD-10-CM
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CPT-4
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Obtain the Certified Coding Associate (CCA) credential within 6 months of hire.
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Obtain the Certified Coding Specialist (CCS) credential within 12 months of hire.
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New Graduates:
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Provide proof of completion of an AHIMA- or AAPC-accredited program within the last 3 months.
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Be eligible and approved to sit for a national certification exam (RHIA, RHIT, CCS, or CPC).
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Obtain the applicable certification within 3 months of graduation.
Company Description
Cook Children’s is an equal opportunity employer. As such, Cook Children’s offers equal employment opportunities without regard to race, color, religion, sex, age, national origin, physical or mental disability, pregnancy, protected veteran status, genetic information, or any other protected class in accordance with applicable federal laws. These opportunities include terms, conditions and privileges of employment, including but not limited to hiring, job placement, training, compensation, discipline, advancement and termination.