Coder

Requisition ID
2021-177013
Department
HIM Coding
Hours / Pay Period
80
Shift
Day
Standard Hours
Monday-Friday (8-5)
Facility / Process Level : Name
Mercy Medical Physician Practi
Location
ND-WILLISTON

Overview

CHI St. Alexius Health, now part of CommonSpirit Health formed between Catholic Health Initiatives (CHI) and Dignity Health.  CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S., from clinics and hospitals to home-based care and virtual care services, CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources, CommonSpirit is committed to building healthy communities, advocating for those who are poor and vulnerable, and innovating how and where healing can happen, both inside our hospitals and out in the community. CHI St. Alexius Health provides you with the same level of care you provide for others. We care about our employees' well-being and offer benefits that complement work/life balance.

 

Under general supervision, Coder II is responsible for abstracts and codes patient records in compliance with coding, billing and data collection guidelines of the organization. Typically responsible for moderately complex coding. Is able to work independently with limited oversight. May require direction from manager or more senior co-workers on more complex cases.

 

We offer the following benefits to support you and your family:

  • Health/Dental/Vision Insurance
  • Flexible spending accounts
  • Voluntary Protection: Group Accident, Critical Illness, and Identity Theft 
  • Free Premium Membership to Care.com with preloaded credits for children and/or dependent adults
  • Employee Assistance Program (EAP) for you and your family
  • Paid Time Off (PTO) 
  • Tuition Assistance for career growth and development
  • Matching 401(k) and 457(b) Retirement Programs
  • Wellness Program

Responsibilities

  1. Accurately abstract information from the medial records into the appropriate coding systems, ensuring compliance with established guidelines.
  2. Determine the most appropriate diagnosis after a thorough review of the medical records. Work closely with practice staff with regards to coding and assignment of a MS-DRGs (Diagnosis Related Group) and APCs (Ambulatory Payment Classification).
  3. Code medical records using ICD-9-CM and CPT-4 coding rules and guidelines. Ensure through and compliant coding to support patient records and submission of billing for payment.
  4. Accurately sequence diagnostic and procedural codes according to organization specified procedures and assigns MSDRG/APC as appropriate. Provide codes various departments upon request.
  5. Enter and validate charges using appropriate tools and validates diagnoses with the medical documentation provided. 
  6. Compare charges on accounts with the procedures coded and identifies any discrepancies. Notify Coding Manager of any discrepancies’ and collaborates as needed to rectify the account.
  7. Participate in special projects and/or completes other duties as assigned.

#missioncritical

Qualifications

CPC or other accredited coding certification required

  • Knowledge of policies, standards, procedures, , processes, work flow, KPIs and regulatory/reporting requirements applicable to the assigned revenue cycle function (e.g. cash management/refunds/credits/posting, clinic customer service, claims processing and/or insurance follow-up, etc.).
  • Knowledge of general concepts and practices that relate to the healthcare field, and specific policies, standards, procedures and practices that pertain to the assigned function.
  • Knowledge of the regulatory/reporting requirements that pertain to the assigned revenue cycle function.
  • Knowledge of standards, practices and requirements relating to employee supervision, evaluation and performance management.
  • Knowledge of clinic operations as they relate to the assigned revenue cycle function.  
  • Knowledge of medical insurance, payer contract, CPT and ICD codes.
  • Knowledge of sources and availability of information relevant to the assigned function.
  • Knowledge of the operation and application of automated systems applicable to the assigned function.
  • Ability to effectively oversee daily operations of the assigned revenue cycle function, identify compliance/productivity deficiencies and recommend timely corrective action.  
  • Ability to troubleshoot, understand and/or adapt moderately complex oral and/or written instructions/guidelines to diverse or dissimilar situations.
  • Demonstrate attention to detail and critical thinking skills within the context of the assigned function, with a commitment to accuracy. Ability to effectively prioritize and execute tasks while under pressure.
  • Ability to maintain confidentiality of medical records, and to use discretion with confidential data and sensitive information.
  • Ability to make decisions based on available information and within the scope of authority of the position.
  • Ability to establish and maintain effective working relationships as required by the duties of the position.
  • Ability to use office equipment and automated systems/applications/software at an acceptable level of proficiency.

Options

Sorry the Share function is not working properly at this moment. Please refresh the page and try again later.
Share on your newsfeed

Connect With Us!

Not ready to apply, or can't find a relevant opportunity?

Join one of our Talent Communities to learn more about a career at CommonSpirit Health and experience #humankindness.