[Hiring] HIM Hospital Coder @Agama Solutions

Role Description

PFB job details for HIM Hospital Coder. They are looking for a coder that understands coding from scratch, not someone who only can edit codes.

• People are struggling to code with accuracy. They need people who are actually coding, not just doing edits.
• Location: Hawaii (Remote/Relocation position).
• Office location: HI-Wailuku-285 Mahalani St, Maui Memorial - Cottage Buildings (HI050-A)
• Duration: 12mo (Very high possibility to convert to FTE after 3mo).
• Job title: HIM Hospital Coder I – This is for an outpatient coder, not inpatient - 3 headcount needed.
• All work is performed in accordance with the rules, regulations, and coding conventions as established by the American Hospital Association (Coding Clinic), ICD-10, CMS, OSHPD, and Kaiser organizational/institutional coding guidelines.

Qualifications

• Must have two years of continuous hospital experience in coding/abstracting within the last five years.
• Demonstrated ability to understand the clinical content of a health record.
• Demonstrated ability to communicate with physicians to clarify diagnoses/procedures and sequencing of diagnoses.
• Must be able to meet quantity and quality standards established for Coders I.
• Basic PC skills.
• Must attain a grade of 75% on the Kaiser coding test (Will be given after the interview if they like the candidate).
• Must maintain a minimum of ten (10) CE units annually. Must maintain current coding credential.
• Will abide by the AHIMA coding code of ethics.

Requirements

• Completion of classes in medical terminology, anatomy and physiology, ICD-10 and CPT coding conventions, and disease process from an accredited program.
• Must have high school diploma or GED.

Duties

• Review medical records to identify diagnoses/procedures.
• Under general supervision, organizes and prioritizes all work to ensure that records are coded in timeframes that will assure compliance with regulatory requirements.
• Demonstrates knowledge of all procedures concerning the sequencing of diagnoses, procedures as outlined in but not limited to ICD-10-CM, CPT, Uniform Hospital Discharge Data Set, Medicare guidelines and other appropriate classification systems.
• Demonstrates knowledge of anatomy and physiology to interpret general medical classifications for coding outpatient encounter or inpatient discharge data.
• Codes all diagnostic and operative information from the medical record using ICD-10-CM, CPT, HCPCS level 2 coding classification systems under direct supervision.
• Selects the DRG for each inpatient case.
• Reviews DRG discrepancies from the fiscal intermediary to ensure the appropriate per case DRG assignment.
• Verifies and abstracts all medical data from the record to complete a data abstract on hospital encounters. Corrects data as appropriate.
• Ensures that all data abstracted and/or coded are consistent with guidelines outlined by JCAHO, OSHPD and CMS, regional and local policy.
• Interacts with physicians to clarify and accurately document patient diagnostic and procedural information under general supervision.
• Enters patient information into the computerized inpatient and outpatient medical record databases, ensuring the accuracy and integrity of the medical record abstract or encounter data prior to transmitting case.
• Ensures timely record availability by meeting coding and abstracting productivity / quality standards established for Coders I.
• Participates in medical record documentation auditing to monitor physician compliance with regulatory requirements i.e., Physician Review Project.
• Maintains and complies with policies and procedures for confidentiality of all patient records.
• Acts as a resource person to other hospital departments regarding coding questions and issues.
• Other duties as assigned by supervisors.

Top Three things Worker will be doing

• Reviewing charts to code.
• Contact providers on feedback.
• Working the coding edits.

Top Three Skillsets needed

• Strong knowledge of medical coding system.
• Attention to detail and analytical skills.
• Critical thinking, compliance, and regulatory knowledge.

Possibility of Extension and Conversion

• Is there a possibility of extension in assignment? Yes.
• Is there a possibility of conversion to FTE? Yes.

Additional Information

• To be able to hit the ground running, with minimal training.
• Looking for a coder with a lot of surgical coding background and multiple years of experience.
• Confident and calm in responses; looking for someone who is not timid.
• Good references should be mentioned and on hand.
• EXCEL experience is a very big plus (e.g., small pivot table creation, inserting, deleting, color coding).
• The Queen's Medical Center and HPH are hospitals where they have seen people who are really good.
• Coding certification from AHIMA and AAPC is preferred.
• Looking for someone who can understand E/M coding in all areas.
• Only entertaining candidates in Hawaii because they work with the Union.