Cabinet Peaks Medical Center is looking for a Coder IV to join our Health Information Management (HIM) team!
Coder abstracts clinical documentation and codes diagnoses and procedures for inpatient and outpatient encounters, including surgeries, emergency department, observation, swing bed, laboratory, imaging, orthopedics, OB, Cardiology, sleep study, rehabilitative services (PT, OT, ST) as well as Rural Health and Specialty Clinics.
Major Job Duties & Responsibilities
Accurately assigns diagnosis and procedure codes for assigned patient encounters using appropriate coding guidelines and regulations.
Communicate with providers/physician offices to clarify diagnoses and procedures for appropriate code assignment when documentation is unclear.
Meet the productivity and quality standards as documented in the coding department guidelines.
Perform charge within 7 days of service/discharge. Perform charge entry into Meditech. Timely follow-up of accounts on hold.
Complete annual educational requirements for certification maintenance.
Participate in quality and process improvement initiatives and projects as directed.
Assist with educating providers for documentation improvement.
Efficiently manages time and organizes workload to maximize medical center & department resources.
Conduct/assist with internal coding audits as needed/directed.
Other duties as assigned
Skills, Knowledge, & Abilities
Ability to function both independently and as a team member, to be a self-starter with strong organizational skills.
Must be detail oriented and skilled in documentation abstraction, data entry and retrieval.
Extensive knowledge of classification nomenclature, anatomy, medical terminology, and health information management practices and procedures.
Working knowledge of ICD-10-CM, ICD-10-PCS, and CPT/HCPCS coding guidelines and practices.
Proficient with computers, Encoder and electronic medical records (Meditech preferred), along with knowledge of medical office procedures and protocols.
Ability to work closely and collaboratively with Business Office and clinical departments to ensure correct and accurate charge capture.
Ability to develop and maintain positive relationships with providers to query and educate them in documentation integrity and specificity.
Education Requirements
College degree in healthcare preferred.
AHIMA RHIA, RHIT, CCA or CCS preferred, and/or AAPC CPC-A or CPC credential
Experience
Minimum 6 years coding experience in an acute hospital setting required.
Schedule
Day shift, Monday through Friday.
Onsite or remote available.
Benefits Package Available.
Cabinet Peaks Medical Center is committed to providing a safe, efficient, and productive work environment for all employees. To help ensure a safe and healthful working environment, each applicant to whom an offer of employment has been made will be required as a condition of employment to undergo a substance test. Additional pre-employment items may be required. Please contact Human Resources for details.