HIM Coder II

1 month ago

Oklahoma City, Oklahoma, United States Intermountain Health Full time

Job Description:

Codes and abstracts hospital health record data using International Classification of Diseases Clinical Modification (ICD-10-CM) and Current Procedural Terminology (CPT) at an intermediate level of complexity.

Scope

  1. This position assigns ICD-10, Hierarchical Condition Coding (HCC), CPT, and Healthcare Common Procedural Coding System (HCPCS) coding classifications based on clinical documentation and/or physician orders. Utilizes appropriate tools, resources, and coding guidelines to determine codes and assigns first listed diagnosis and secondary diagnoses codes in addition to CPT codes when appropriate. Obtains clarification from physicians, clinical departments, and others on documentation questions as needed. Performs coding at an intermediate level of coding complexity to ensure proper hospital reimbursement.
  2. Audits and edits results of data provided by technology tools and resolves edits to send out a clean and accurate claim.
  3. Collaborates with internal patient access to acquire correct and compliant diagnosis(es) to meet Advance Beneficiary Notice of Noncoverage (ABN) requirements and compliant billing regulations.
  4. Maintains assigned work queues within defined processing time, meets productivity standards and meets quality standards of 95% accuracy or better.
  5. Verifies data abstracted and entered from the electronic health record (EHR). Ensures integrity of the database for internal and external data reporting.
  6. Responds promptly to inquiries from revenue services related to the use of codes and modifiers within the billing process to assure accuracy and avoid delays in the billing process.
  7. Adheres to all internal and external compliance guidelines. Participates in continuing education programs to maintain an understanding of anatomy, physiology, medical terminology, disease processes, and surgical techniques to support the effective application of coding guidelines and maintains credentials.
  8. Stays abreast of coding guidelines, reimbursement methodologies, and regulatory compliance. Maintains thorough and current knowledge of clinical care and treatment options to critically assess appropriateness of documentation. Thorough clinical knowledge of disease processes, pathophysiology and pharmacology is required.
  9. Assists as needed with billing/audit questions to ensure accurate reimbursement, facility inquiries, education, statistical analysis, and the processing of internal audit reviews.
  10. Identifies the need to clarify documentation in the medical record and communicates with physicians using the appropriate "query" tools according to the American Health Information Management Association (AHIMA) Guidelines for Achieving a Compliant Query Practice.
  11. Promotes the mission, vision, and values of Intermountain Health, and abides by service behavior standards.
  12. Performs other duties as assigned.

Posting Specifics

  • Entry Rate &18.65 PLUS depending on experience
  • Benefits Eligible: Yes.
  • Shift Details: Full-Time - Monday–Friday Days
  • Department: Peaks Regional
  • Other: This position will work Remote

Minimum Qualifications

  • Coding credential from AHIMA or American Academy of Professional Coders (AAPC)
  • OR ten (10) years of acute care facility emergency department coding experience.
  • Ability to work independently in a remote environment required.
  • Demonstrates attention to detail for accuracy requirements required.

Preferred Qualifications

  • On-site Health Information practicum experience. Outpatient/emergency department coding experience in an acute care facility setting which includes ICD-10-CM and/or CPT coding.
  • Understanding of billing, hospital reimbursement, and compliance background.
  • Ability to communicate effectively and diplomatically within a multi-functional team.
  • Experience with EPIC EHR and 3M 360 CAC, using 3M automation tools.
  • Experience with Microsoft Suite (Excel, Word, Outlook).

Physical Requirements:

Remain sitting or standing for long periods of time to perform work on computer.

AND

See and read computer monitors and documents.

AND

Interact with others requiring the employee to communicate information.

AND

Operate computers and other equipment requiring the ability to move fingers and hands.

Anticipated job posting close date:

06/04/2024

Location:

Peaks Regional Office

Work City:

Broomfield

Work State:

Colorado

Scheduled Weekly Hours:

40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

$ $32.07

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits packages for our Idaho, Nevada, and Utah based caregivers ) , and for our Colorado, Montana, and Kansas based caregivers ) ; and our commitment to diversity, equity, and inclusion ) .

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

Intermountain Health is a Utah-based, not-for-profit system of 33 hospitals (includes "virtual" hospital), a Medical Group with more than 3,800 physicians and advanced practice clinicians at about 385 clinics, a health plans division called Select Health, and other health services. Helping people live the healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery.

Join our world-class team and embark on a career filled with opportunities, strength, innovation, and fulfillment.

To find out more about us, head to our career site here ) .

Sign up for job alerts Click 'sign in' at the top right corner, create a candidate account, and when we have opportunities that meet your interests, you will receive an email with the job details.

Intermountain Health strives to make the application process accessible to all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact or email . This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.

We intentionally work toward an Intermountain Health that reflects our diverse communities and provides culturally competent care, health equity, and a sense of belonging amongst all our caregivers (employees). This is an important part of fulfilling our mission to help people live the healthiest lives possible. The three pillars of our work are talent experience with Intermountain (application, internship, development, etc.), community benefit, and care delivery.

Learn more about diversity at Intermountain, here. )

Introduce yourself to our Talent Acquisition team and we will get in touch if there is a role that seems like a good match.

Intermountain Health's PEAK program supports caregivers in the pursuit of their education goals and career aspirations by providing up-front tuition coverage paid directly to the academic institution. The program offers 100+ learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates. Caregivers are eligible to participate in PEAK on day 1 of employment. Learn more. )

The primary intent of this job description is to set a fair and equitable rate of pay for this classification. Only those key duties necessary for proper job evaluation and/or labor market analysis have been included. Other duties may be assigned by the supervisor.

All positions subject to close without notice.

Thanks for your interest in continuing your career with our team


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