Medical Coder

Company Description:

Woodlawn Health is a rural health system that provides excellent healthcare services to patients in Fulton, Marshall, and surrounding counties in Indiana. Our highly skilled staff delivers compassionate and caring healthcare to our patients. Our mission is to improve the quality of life for our patients by providing excellent healthcare services.

This position may be eligible for a $5000 sign-on bonus

PRIMARY DUTIES:

• Coders will be required to work onsite during the 90-day probationary period for training. Remote work will be offered after a successful probationary period. Coders will be required to work on-site periodically for additional training. Remote work will be monitored and specific measures must be met to continue remote work.
• Contacts appropriate medical staff members and makes queries to rectify inconsistencies, deficiencies, and discrepancies in medical record documentation.
• Reviews the medical record for continuing quality improvement activities, performs quality improvement activities in support of hospital-wide medical documentation concerns. Performs clinical pertinence review on randomly selected medical records against specified criteria, as requested
• Educate staff/physicians on inadequate or missing documentation according to HFAP standards.
• Query providers for any documentation discrepancies and medically necessary procedures when needed.
• Reviews and analyzes, abstracts, and codes outpatient and/or inpatient medical records, assigns diagnoses and procedure codes, and provides assistance to the professional staff. Demonstrates knowledge of outpatient and inpatient coding guidelines, including E & M level coding, accreditation references and medical terminology, anatomy and physiology.
• Codes disease and injury diagnoses, acuity of care, and procedures in a wide range of outpatient and inpatient settings and specialties using the current International Classification of Diseases, Version 10-
• Clinical Modification ICD-10-CM/ICD-10-PCS; American Medical Association Current Procedural Terminology (CPT); Health Care Financing Administration Common Procedure (HCPCS) Coding System.
• Selects the appropriate code(s) and/or modifier(s) that most accurately describe the correct principal and secondary diagnoses and principal and secondary procedures, based on physician clinical documentation.
• Bases all coding on what the physician documents in the medical record including outpatient physician orders for outpatient services such as radiologist and pathologist reports.
• Inputs the codes and other discharge data into CPSI, the Hospital Information System and verifies the accuracy of data entered including charges on outpatient accounts. Performs qualitative analysis to ensure accuracy, internal consistency, and correlation of recorded data.
• Selects and inputs charge codes, in CPSI and/or Allscripts PM, for facility and professional billing.

EDUCATIONAL REQUIREMENTS AND QUALIFICATIONS:

• High School diploma/GED or relevant experience is required.
• Formal education in anatomy and physiology, medical terminology, disease processes, content of a medical record, coding of diagnoses using ICD-10-CM and procedures using ICD-10PCS and Current Procedural Terminology (CPT) required.
• 1-2 years prior experience in a healthcare environment is required.
• One or more of the following credentials of RHIA, RHIT, CCS, CCA, CPC, COC
• Demonstrate ability to communicate and work in a professional manner with members of the medical staff, government agencies, and third party payers.
• Demonstrate good communication skills and excellent customer service skills.
• Knowledge and ability to read, interpret and follow hospital and government rules and regulations relating to but not limited to safety, privacy, security, procedural manuals and official coding guidelines.
• Ability to plan, organize and adapt to a multi-task environment.
• Ability to communicate effectively and professionally with internal and external customers and co-workers.
• Demonstrate knowledge and skill in computerized data entry and retrieval systems.
• Willingness to continue education on coding, guidelines and CMS, WPS, and HFAP guidelines and/or standards.
• Ability to aggregate data and ensure data integrity by analyzing reports built in the EMR and EHR.
• Ability to build ad hoc reports and to transition data into useable information for trending the financial impact to the organization.

These requirements are non-negotiable and applicants without the education and credentials cannot be considered.

Shift: Full time, Days