[Hiring] Medical Records Coder and Abstractor II @TriHealth

Role Description

At TriHealth, our corporate team thrives on a service-oriented mindset grounded in inclusivity, innovation, and collaboration. We cultivate a supportive culture where every team member is valued, empowered, and given a true sense of belonging. When you join us, you become part of a community that invests in your personal well-being and your professional future. You’ll experience meaningful growth and development opportunities, excellent benefits, and a workplace where people actively support one another and share best practices every day. Here, your contributions matter—and together, we make a lasting impact.

Location: This is a work from home role that requires the team member to live in the Greater Cincinnati/Northern Kentucky area.

Schedule: Day Shift

Job Overview

• Reviews and interprets clinical documentation to assign accurate and complete codes, modifiers, MSDRG's, APR-DRG's, SOI, ROM, POA indicators, discharge dispositions, and any other clinical data elements required for appropriate reimbursement.
• Understands and applies reimbursement processes under federal compliance guidelines.
• Abstracts demographic and clinical data into hospital health information system(s) such as HDM, Epic, or other currently in use.
• Performs and responds to data quality checks and payer/claims issues.
• One may specialize in one or more of the standard functions. Specific assignments will vary from day to day based on the needs of the department.

Requirements

• Currently enrolled in an approved program for specific field of study. (Required)
• Proficiency in:
  • ICD and CPT coding
  • DRG’s
  • MSDRG’s
  • POA indicators
  • Post-acute transfer rules
  • Disposition status
  • Disease process and treatment
  • Anatomy and medical terminology
  • Clinical documentation requirements
• AHIMA
• RHIT - Registered Health Information Technician (Continuing education pursued in accord with requirements of the accrediting bodies within 180 Days Required)
• RHIA - Registered Health Information Administrator (Continuing education pursued in accord with requirements of the accrediting bodies within 180 Days Required)
• CCS - Certified Coding Specialist (Continuing education pursued in accord with requirements of the accrediting bodies within 180 Days Required)
• Other Certified Professional Coder (CPC) may be substituted at the hiring manager’s discretion (within 180 Days Required)
• CCA - Certified Coding Associate may be substituted at the hiring manager’s discretion (within 180 Days Required)

Job Responsibilities

• Independently and confidently delivers high quality results utilizing coding resources and provided education.
• Reviews and interprets clinical documentation to assign accurate and complete codes, modifiers, DRG’s, and POA indicators.
• Consistently meets monthly productivity goals set by department:
  • 1.25 Med/Surg cases per hour
  • 2 observations per hour
  • 2.5-3 OB/NB cases per hour
  • 3 Outpatient Surgeries per hour
  • 12 ED's per hour
  • 34 Ancillaries:
    • 5=>150
    • 4=149-120
    • 3=119-100
    • 2=99-80
    • 1=<80
• Abstracts demographic and clinical data into hospital health data management systems.
• Engaged team member, highly regarded for their work and leadership.
• Problem solves and develops solutions when raising issues.
• Positive role model and has influence on peers.
• Displays confidence and initiative.
• Volunteers to be a part of educational training sessions.
• Completes all bright ideas and required trainings on time.

Working Conditions

• Bending - Rarely
• Climbing - Rarely
• Concentrating - Consistently
• Continuous Learning - Consistently
• Hearing: Conversation - Frequently
• Hearing: Other Sounds - Frequently
• Interpersonal Communication - Consistently
• Kneeling - Rarely
• Lifting <10 Lbs. - Rarely
• Lifting 50+ Lbs. - Rarely
• Lifting <50 Lbs. - Occasionally
• Pulling - Occasionally
• Pushing - Occasionally
• Reaching - Occasionally
• Reading - Consistently
• Sitting - Occasionally
• Standing - Frequently
• Stooping - Occasionally
• Talking - Frequently
• Thinking/Reasoning - Consistently
• Use of Hands - Frequently
• Color Vision - Frequently
• Visual Acuity: Far - Frequently
• Visual Acuity: Near - Consistently
• Walking - Frequently

TriHealth SERVE Standards and ALWAYS Behaviors

• Serve: ALWAYS...
  • Welcome everyone by making eye contact, greeting with a smile, and saying "hello"
  • Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist
  • Refrain from using cell phones for personal reasons in public spaces or patient care areas
• Excel: ALWAYS...
  • Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met
  • Offer patients and guests priority when waiting (lines, elevators)
  • Work on improving quality, safety, and service
• Respect: ALWAYS...
  • Respect cultural and spiritual differences and honor individual preferences.
  • Respect everyone's opinion and contribution, regardless of title/role.
  • Speak positively about my team members and other departments in front of patients and guests.
• Value: ALWAYS...
  • Value the time of others by striving to be on time, prepared and actively participating.
  • Pick up trash, ensuring the physical environment is clean and safe.
  • Be a good steward of our resources, using supplies and equipment efficiently and effectively, and will look for ways to avoid waste.
• Engage: ALWAYS...
  • Acknowledge wins and frequently thank team members and others for contributions.
  • Show courtesy and compassion with customers, team members and the community.