Coder

Job description

Something special starts here. You can’t define it, but you know it when you see it: the difference between an average life and the good life. When your cup is full – with joy, purpose and lifelong health – it shows. At LMH Health, we are all about healthy people, healthy communities and healthy futures, and that makes us your destination for an exceptional career. From flexible, work-life harmony to competitive pay and great advancement potential, find everything you’re looking for at LMH Health. You'll find everything you’re looking for at LMH Health: Join a team that cares about the community Tuition reimbursement to support continuing education Professional development and recognition Excellent benefits We’re looking for you. Job Description I. JOB SUMMARY The Coder I position is responsible for accurate, coding, abstracting, claims filing, documentation review and claims denial processing working from the appropriate documentation in the medical record. The Coder must stay up to date on code changes and coding guidelines to assure quality and code compliance is met at all times. The Coder has additional combined responsibilities of data quality and insurance representative functions working closely with other members of the HIMS department. II. ESSENTIAL JOB RESPONSIBILITIES Reviews inpatient and outpatient medical records to identify the principal diagnosis and all applicable secondary diagnosis and procedures. Use computerized encoding system to facilitate accurate coding according to the appropriate classification system. Sequence diagnosis and procedures by following ICD-10-CM & ICD-10-PCS, CPT/HCPCS, UHDDS, Medicare, Medicaid, and other fiscal intermediary guidelines. Will be cross-trained to assist with backlog in any needed focus-coding group. Work cooperatively with medical staff and other healthcare professionals in obtaining documentation to ensure optimal hospital payment and accurate data input. Prepare workload reports and participates in department continuous quality improvement studies. Abstract medical data from the record to complete discharge data abstract on each outpatient. Complete and verify diagnostic, demographic and other information for submission to KHDS. Review, verify, and initiate necessary correction processes for data quality review. Participate in medical record documentation auditing to monitor physician compliance with regulatory requirements. Communicate and advise other hospital personnel on coding and DRG assignment. Meet established quality and productivity standards. Adhere to all hospital and departmental policies, procedures and regulations, including attendance. Perform other related duties as assigned or requested. Requires ability to concentrate and maintain accuracy in spite of frequent interruptions and/or distractions, sit for long periods. Must be able to follow instructions and use sound judgment. Requires close mental and visual attention to details, as well as excellent verbal and written communication skills. Able to handle frustration and interactions with others in a professional manner. Requires self-motivation to complete work assignments in a timely, accurate manner. Maintain ongoing registration and continuing education for applicable credentials Performs other duties as needed or assigned. Regular and reliable attendance is an essential function of this position III. JOB QUALIFICATIONS Required : High School Diploma or equivalent Completion of one of the following through AHIMA accredited programs: Certificate Coding Associate, Certificate Coding Specialist, Certified Professional Coder, Registered Health Information Technician, Registered Health Information Administrator OR Credentialed through AAPC or in progress Preferred : Associates or Bachelor’s Degree in Health Information Management 3M Coding Solution Knowledge Remote Work/Work-from-Home : This position is entirely remote or work from home following completing of onboarding training program. This person must live within Kansas or Missouri, and will be required attend on-site meetings, as scheduled. Our Cultural Beliefs People First Integrity Matters Better Together At LMH Health, we value inclusion and diversity. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.