Coder

$43,000 - $56,000 yearly
  • Campbell County Health (CCH)
  • Gillette, WY, USA
  • Jun 12, 2022
Full time Admin-Clerical Health Care Information Technology

Job Description

CODER
Full-Time Days

  • JOB SUMMARY

    • Works under the supervision of the Health Information Department Manager, organize and manage health information data by ensuring its quality, accuracy, accessibility and security of both paper and electronic records. Utilize various classification systems to assign appropriate codes for diagnoses and procedures on all medical records. Categorizes patient information in electronic systems for reimbursement purposes, databases and registries. Abstracts clinical information into computerized database and monitors records for abstracting to assure that diagnostic information is documented in a timely manner. Performs other duties as assigned.

  • PRIMARY JOB DUTIES

    • Review patient records for timeliness, completeness, accuracy and appropriateness of health data.

    • Organize and maintain data for clinical databases and registries.

    • Utilize classification software to assign clinical codes for reimbursement and data analysis (i.e. diagnosis codes, procedures codes, CPT’s, E/M codes, APC’s and DRG’s).

    • Aggressively pursues obtaining final diagnoses, present on admission indicators, and querying in a timely manner. Works with medical staff as indicated to clarify coding and sequencing issues.

    • Electronically record data for collection, storage, analysis, retrieval, and reporting.

    • Track patient outcomes for quality assessment.

    • Work as a liaison between the health clinician and Patient Accounting Office.

    • Protects patients’ health information for confidentiality, authorized access for treatment and data security.

    • Performs computer system maintenance as required by vendor or defined in department policy and procedure.

    • Must be free from governmental sanctions involving health care and/or financial practices.

    • Actively participates in Strategic Plans for the department and organization. Actively participates in Customer/Guest Relations and Mandatory Education programs.

    • Complies with the hospital’s Corporate Compliance Program including, but not limited to, the Code of Conduct, laws and regulations, and hospital policies and procedures.

    • Performs other assigned duties.

  • JOB SPECIFICATIONS

    • Education: High school graduate.

    • Licensure: Must obtain coding certification within 1 year of hire.

    • Experience:
       
      • Three years previous experience in a hospital-based medical records department preferred.

      • One year of ICD-9-CM/CPT coding experience preferred.

      • Knowledge of human anatomy and physiology preferred.

    • Essential Technical/Motor Skills: 

      • Computer skills. Computer literate with good keyboarding skills.

      • Typing 40 WPM.

      • Eye-hand coordination, manual and finger dexterity.

      • Ability to run a copier.

      • Ability to answer phones.

      • Ability to learn and utilize alphabetical and terminal digit filing systems.

    • Interpersonal Skills:

      • Excellent interaction with visitors, patients, coworkers, medical staff, outside agencies effectively and courteously.

      • Corresponds effectively with outside agencies.

    • Essential Physical Requirements: 

    •  
      • Corresponds effectively with outside agencies.

      • Ability to work in small spaces.

    • Essential Mental Abilities:

    •  
      • Attention to detail.

      • Reasoning. Review of requests for appropriate criteria.

      • Ability to interpret and apply federal and state statutes regarding the disclosure of healthcare information.

      • Ability to understand and follow medical records and diagnoses and decision making in applying the appropriate code.

      • Very detail oriented.

    • Essential Sensory Requirements: Sufficient vision, hearing, and speech to perform duties.

    • Exposure to Hazards: OSHA CATEGORY III. Identified job duties do not have any anticipation for contact with blood, contaminated body fluids or tissues.

    • Hours of Work: Generally, normal business hours (7:00 a.m. –5:00 p.m.); overtime, evenings, and weekends may occasionally be required.

    • Other: Ability to work under stressful conditions.

    • Employees working in healthcare facilities have the potential to be exposed to hazardous materials including: Hazardous Chemicals/Drugs, Waste Anesthetic Gases, Radiation, Latex, Biological Hazards, Respiratory Hazards and Ergonomic Hazards. See Hazardous Materials in the Workplace Policy.