The Hospital Coder applies skills and knowledge of currently mandated coding and classification systems, and official resources to select the appropriate diagnostic and procedural codes (including applicable modifiers), and other codes representing healthcare services (including substances, equipment, supplies, or other items used in the provision of healthcare services). This position is responsible for selecting and sequencing the codes such that the organization receives the optimal reimbursement to which the facility is legally entitled, remembering that it is unethical and illegal to increase reimbursement by means that contradict requirements. Essential Duties and Responsibilities include using a computerized encoding system to facilitate accurate coding, sequencing diagnoses and procedures by following ICD-10-CM/PCS, CPT4, UHDDS, Medicare, Medicaid and other fiscal intermediary guidelines. Supporting the reporting of healthcare data elements required for external reporting purposes in accordance with regulatory and documentation standards and requirements. Querying providers for clarification or additional documentation when there is conflicting, incomplete, or ambiguous information. Advancing coding knowledge and practice through continuing education. Demonstrating integrity and commitment to ethical and legal coding practices. Utilizing official coding rules and guidelines to apply the most accurate coding. Complying with internal coding policies and procedures. Attending coding meetings and roundtable sessions, participating in daily huddles and LEAN problem-solving activities, maintaining focus during work and meetings, ensuring camera use during Teams calls, assisting with organizing the shared drive for the medical coding department, and other duties as assigned by the manager. Qualifications include High School Diploma/G.E.D., preferred prior experience in hospital medical coding and with 3M 360 and EPIC systems, passing an assessment with 80% or above, excellent computer and communication skills, knowledge of ICD-10-CM, ICD-10-PCS or CPT-4 coding systems, detail orientation, and coding certification/credential through AHIMA or AAPC in good standing. The position is fully remote and requires maintaining a remote coding work area that protects confidential health information.
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