Medical Records/Specialty Coder

ScionHealth is seeking a Medical Records Coder to join our team!  This is a remote position.

Job Summary

 The Medical Records/Specialty Coder codes medical records, including all diagnoses, operative and diagnostic procedures in patient medical records, using the International Classification of Diseases and enters coded information into an automated system.

Essential Functions

• Provide consistent, accurate, and timely coding of medical records for appropriate billing and/or data collection. To provide guidelines for adherence to the Corporate Compliance Initiatives regarding the requirements applicable to Medicare’s Prospective Payment System for long-term care facilities.
• Code all admissions within 1 business day of registration based on the presence of the history and physical.
• Code operative procedures within 2 business days of receipt of documentation.
• Code information provided by the facility from paper patient records within two business days of notification.
• Attend weekly CDI/Coder calls with HIM and CM in attendance at each facility to discuss possible DRG progressions.
• Code discharge patient records within four business days of discharge with accounts with total charges of greater than $250,000 as first priority.
• Correspond with CCDI regarding coding and documentation issues utilizing Collaborate daily.

Knowledge/Skills/Abilities/Expectations

• Knowledge of the principles of medical record coding. Expertise and credentials in medical records coding.
• Ability to organize and prioritize work in order to meet job demands.
• Ability to communicate effectively and present information in an organized manner on a routine basis.
• Ability to maintain confidentiality of all patients and/or employee information to assure patient and/or employee rights are protected.
• Ability to maintain a good working relationship with peers, superiors and subordinates while working under stressful situations.
• Ability to manage several projects/tasks simultaneously.
• Technical understanding of coding operating systems (hardware and software).
• Communicates effectively and exhibits courteous behavior when dealing with coding department employees, as well as hospital employees served.
• Must read, write, and speak fluent English.
• Must have good and regular attendance.
• Performs other related duties as assigned.

Education

• High School or equivalency diploma or satisfactory completion of a college certificate program in Medical Records Coding of at least 30 credits.
  

Licenses/Certification

• Certified or licensed individuals, CCS, CCA, CPC, RHIT, RHIA, RN, CPC, COC.

Experience

• 3 years’ experience as a medical records coder in a health care facility; or satisfactory completion of a college certificate program in Medical Records Coding of at least 30 credits, and one year of experience working with medical records in a medical records unit in a health care facility; or two years’ experience equivalent combination of the training and experience.

Depending on a candidate's qualifications, this position may be filled at a different level.