Remote Coder II - Hospital Outpatient

Community Health Systems is one of the nation’s leading healthcare providers. Developing and operating healthcare delivery systems in 47 distinct markets across 16 states, CHS is committed to helping people get well and live healthier. CHS affiliates 81 operate acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers.

Summary: 

As a member of the HIM Central Services coding team, provides coding assistance for HIM Central Service supported CHS hospitals in all outpatient areas.  Reviews patient records and assigns accurate codes for each diagnosis and procedure.  Applied knowledge of medical terminology, disease processes, and pharmacology.  Demonstrates data quality and integrity skills. 

This individual will be required to make independent decisions regarding accurate ICD-10-CM and CPT / HCPCS codes assignments and be familiar with LCD/NCD and coding edit resolution.  These decisions will play a key role in determining the reimbursement potential of CHS with adherence to compliant coding standards and corporate policies developed to ensure accurate billing.

Essential Duties and Responsibilities:

1. Performs remote coding for CHS hospitals via scanned medical records and abstracts via access to hospital abstracting system as part of a corporate coding organization.
2. Codes Observation, Outpatient Surgery, Interventional Radiology, Cardiac Catheterization, Wound Care records, Emergency Department (Diagnosis & Procedure), and Ancillary services.
3. Consults the Manager, Corporate Coding or other available resources and works out difficult codes and/or coding problems.
4. Attends coding education as scheduled.
5. Other duties may be assigned
6. Maintains productivity levels set forth by CHS while maintaining a 95% coding accuracy rate.

Qualifications:

• Required Education:

  • High School Diploma or GED

  • ICD-10-CM & CPT 

• Preferred Education:

  • 1 year coding certification, Associate or Bachelor’s degree in Health Information Management or related field

  • Knowledge of related prospective payment systems, anatomy, physiology, ancillary testing, and medical terminology

  • Broad knowledge of pharmacology indications for drug usage and related adverse reactions

• Preferred Experience:

  • 2 years’ acute care hospital outpatient coding experience, Wound Care coding, Cath Lab coding

• Required License/Registration/Certification:
  • CPC, CCA, CCS, RHIA, or RHIT
• Computer Skills Required: 
  • Experience with virtual desktop image, electronic medical record systems, encoding systems as well as word processing and spreadsheet software

Physical Demands:

• The Employee is required to read, review, prepare and analyze written data and figures, using a PC or similar, and should possess visual acuity.
• The Employee may be required to occasionally climb, push, stand, walk, reach, grasp, kneel, stoop, and/or perform repetitive motions.
• The Employee is not substantially exposed to adverse environmental conditions and; therefore, job functions are typically performed under conditions such as those found within general office, home-based office or administrative work.