Coder

  • Duncan Regional Hospital
  • Duncan, OK, USA
  • May 13, 2022
Healthcare IT

Job Description

The Coder reviews patient records and assigns codes (ICD-10-CM, ICD-10-PCS, CPT, HCPCS) for each diagnosis and procedure. The coder applies knowledge of medical terminology, disease processes and pharmacology to ensure these codes accurately reflects the care provided to each patient.

 

Responsibilities:

  • Accurately assigns and sequences codes (ICD-10-CM, ICD-10-PCS, CPT, HCPCS) for each patient encounter, following proper coding guidelines and legal requirements to ensure compliance with federal and state regulations
  • Abstracts required medical record information from patient records
  • Ensures correct DRG’s, APR DRG’s, and APC’s are calculated
  • Queries providers when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes
  • Assigns and enters charges such as E&M levels, infusion/injections, observation hours, etc.
  • Participate in continuing education activities to expand coding skills and stay abreast of changes in coding guidelines and reimbursement reporting requirements
  • Foster positive working relationships with CDI, billing, and other pertinent positions at DRH Health
  • Identifies and reports discrepancies, potential quality concerns, and billing issues
  • Reviews records to insure documentation in the record supports ordered services and meets medical necessity
  • Abides by the Standards of Ethical Coding as set forth by the American Health Information Association and adheres to official coding guidelines
  • Must adhere to safety protocols at all times, including (position specific examples)
  • Implement DRH Standards of Behavior and exhibit behaviors consistent with DRH core values.
  • Performs other related duties as assigned by the department Director

Shift: 1

Hours: Monday-Friday, 80 hrs pp

Type: Full Time

Category: Non Clinical

Qualifications

Bachelors or associates degree in Health Information Management is preferred. Prefer at least 3 years experience in DRG and/or APC assignment. RHIA or RHIT preferred.  CCS or CPC preferred. Previous work experience as a coder or strong training background in coding and reimbursement. Outstanding communication and interpersonal abilities.

 

*Non-Safety Sensitive

 

**As a condition of employment, vaccinations are required per DRH Policy. Medical and Religious Exemptions are available upon request.