Job Description The Health Information Management ( "HIM”) Coder reviews, analyzes and codes diagnoses and procedures information that uses International Classification of Diseases, Tenth Revision, Clinic Modification ( "ICD-10 CM ", International Classification of Diseases, Tenth Revision, Procedure Coding System ( "ICD10PCS "), Current Procedural Terminology ( "CPT "), or Evaluation and Management ( "E&M ") coding and Healthcare Common Procedure Coding ( "HCPCS ") coding. The coding function is a primary source for data and information used in health care today. It promotes provider/ patient continuity, accurate database information and the ability to optimize reimbursement. The coding function also ensures compliance with established coding guidelines, federal regulations and accreditation guidelines.
Job Requirements AS/AA degree in HIM or other related health field AND three (3) years health care coding experience with ICD-10-CM, CPT and HCPCS classification systems for evaluation management coders. One Certification is required.
(OR)
BS/BA degree in HIM or other related health field AND one (1) year health care coding experience with ICD-10-CM, CPT and HCPCS classification systems for evaluation management coders. One Certification is required.
(OR)
High School/GED AND five (5) years health care coding experience with ICD-10-CM, CPT and HCPCS classification systems for evaluation management coders. One Certification is required.
• Excellent communication and interpersonal skills.
• Experience with automated patient care and coding systems. (Cerner Electronic Health Record, Cerner products (Radnet, Surginet), Capstone, OPTUM Enterprise Computer Assisted Coding ( "eCAC ")and encoder, 3M APC Encoder, ePremis, Soarian financial billing system.)
• Competence with MS Office software (Word, Excel, Zoom and Outlook).
• Extensive knowledge of International Classification of Diseases, Tenth Revision, Clinical Modification ( "ICD10CM "), International Classification, Tenth Revision, Procedure Coding System ( "ICD10PCS "), Healthcare Common Procedure Coding System ( "HCPCS "), International Classification International Classification 10, American Healthcare Association ( "AHA ") coding clinic guidelines, Medicare Severity Diagnosis Related Groupers ( "MSDRG "), All Patient Refined Diagnosis Related Groupers ( "APRDRG "), Center for Medicare & Medicaid Services ( "CMS ") guidelines, National Center for Healthcare Statistics ( "NCHS "), Radiation Oncology Coding Guidance (CodingStrategies, American Society for Radiation Oncology ( "ASTRO "), American College of Radiation Oncology ( "ACRO "), American Health Information Management Association ( "AHIMA ") and American Academy of Professional Coders ( "AAPC ") code of ethics
Preferred: Experience with coding oncology related services
Job Duties: Coding encounters with the proper codes and modifiers for all billable hospital services utilizing ICD10CM, ICD10PCS, CPT, and HCPCS code sets in accordance with coding compliant guidelines, federal regulations and accreditation guidelines.
Analyzes and review medical record documentation in the medical record for the purpose of assigning codes sets to the documentation submission to insurance payers. Codes for 100% of medical records/encounters for each assigned clinic or encounter type within five working days following discharge with 97% coding accuracy as demonstrated by monthly coding audit.
Codes for 100% of medical records/encounters for each assigned clinic or encounter type daily following discharge with recommended productivity standard as set forth in the HIM Productivity policy.
Utilize time management to ensure that all codes are audited and correctly entered or added. All edits are resolved timely.
Alert coding educator, supervisor, and manager of coding in identifying and analzying problems or issues that prevent coding of encounters. Knowledge and expertise necessary to perform the query process to clarify and confirm clinic documentation.
Maintain Continue Education Units ( "CEUs "): For credentials/certifications and education to stay current with all coding and skills to accurately abstract and code medical encounters and records.
Kolter Solutions is a leading professional staffing company based in Central Florida. We place highly skilled individuals on a contract, contract-to-hire and direct hire positions at clients nationwide. Kolter Solutions has proudly been recognized as the "2023 Best Places to Work ” by the Orlando Business Journal and "2022 Best Staffing Companies to Work for " by Staffing Industry Analysts (SIA). We are also in the Fast 50 – 2022 Fastest growing companies in Central Florida!
We offer:
Full Health Benefits
Vision
Dental
401 (k)
Pet Insurance
Life Insurance
Supplemental Benefits such as short-term disability, accidental insurance, and supplemental dental and vision.
Employee Discounts
Referral Program
Kolter Solutions is an Equal Opportunity Employer. We believe in hiring a diverse workforce and sustaining an inclusive, people-first culture. We are committed to non-discrimination on any protected basis, such as disability and veteran status, or any other basis covered under federal, state or local applicable law.
Seniority level
Entry level
Employment type
Contract
Job function
Health Care Provider
Industries
Information Technology & Services
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