Coder II Inpatient

Job description

Overview

Looking to be part of something more meaningful?

At HonorHealth, you’ll be part of a team, creating a multi-dimensional care experience for our patients.

You’ll have opportunities to make a difference.

From our Ambassador Movement to our robust training and development programs, you can select where and how you want to make an impact.

HonorHealth offers a diverse benefits portfolio for our full-time and part-time team members designed to help you and your family live your best lives.

Visit honorhealth.com/benefits to learn more.Join us.

Let’s go beyond expectations and transform healthcare together.

HonorHealth is one of Arizona’s largest nonprofit healthcare systems, serving a population of five million people in the greater Phoenix metropolitan area.

The comprehensive network encompasses nine acute-care hospitals, an extensive medical group with primary, specialty and urgent care services, a cancer care network, outpatient surgery centers, clinical research, medical education, a foundation, an accountable care organization, community services and more.

With more than 16,000 team members, 4,000+ affiliated providers and over 1,100 volunteers, HonorHealth seamlessly blends collaborative care and approachable expertise to improve health and well-being.

People often say care feels different here -- because it does.

Learn more at HonorHealth.com.


Responsibilities

Job SummaryAssigns and sequences ICD-10-CM, ICD-10-PCS, CPT, and HCPCs codes through review of Inpatient or Outpatient clinical documentation and diagnostic results as appropriate for billing, internal and external reporting, research, and regulatory compliance.

Codes complex accounts which requires advanced expertise in coding subject matters.

+ Inpatient: Assigns and sequences ICD-10-CM and ICD-10-PCS diagnostic and procedural codes for inpatient accounts within HonorHealth.

Reviews physician documentation & coding for appropriateness & accuracy in accordance to Medicare and American Medical Association (AMA) coding guidelines.

Utilizes electronic medical record and computer-assisted coding (CAC) software.

Codes complex accounts.

Assigns DRGs as applicable.

Outpatient: Assigns and sequences ICD-10-CM, ICD-10-PCS, CPT, and HCPCs diagnostic and procedural codes for multiple outpatient accounts such as (same day surgery, endoscopy, ED/Trauma, breast health, or other more complex patient type) within HonorHealth.

Reviews physician documentation & coding for appropriateness & accuracy in accordance to Medicare and American Medical Association (AMA) coding guidelines.

Utilizes electronic medical record and computer-assisted coding (CAC) software.

Codes complex accounts.

Addresses NCCI, OCE, LCD, and other applicable coding edits.

+ Inpatient/Outpatient: Complies with system-wide coding practices to meet corporate compliance guidelines and to ensure appropriate and effective reimbursement with Patient Financial Services, medical staff and various departments.

Reviews and analyzes medical records for accurate code selection.

+ Inpatient/Outpatient: Maintains query communication with providers to ensure timely notification of identified documentation issues that may impact revenue or compliance.

+ Inpatient: Assists Patient Financial Services with interpretation of codes and /or other information requested for accurate billing and reimbursement.

Possesses knowledge and understanding of failed bill parametersOutpatient: Assists Patient Financial Services with interpretation of codes and /or other information requested for accurate billing and reimbursement.

Possesses knowledge and understanding of failed bill parameters.

Performs outpatient charge validation/ reconciliation to ensure all submitted charges are posted timely and balance with total submitted charges.

Assigns charges as applicable.

+ Resolves routine coding issues/problems and appropriately seeks assistance from Coding Supervisor.

Keeps supervisor informed of issues/problems and other such activities.

+ Participates in continuing education activities to enhance knowledge, skills, and keep credentials current.

+ Performs other duties as assigned.


Qualifications

EducationHigh School Diploma or GED RequiredExperience2 years Inpatient: Two years experience in coding complex inpatient accounts including extended length of stay and extensive surgical and or medical accounts.Outpatient: Two years experience in coding complex outpatient accounts which may include: Extensive emergency department trauma, newborn, obstetrics, day surgery, and observation.

RequiredLicenses and CertificationsInpatient: CCS (Certified Coding Specialist), or CIC (Certified Inpatient Coder), or RHIT (Registered Health Information Technician), orRHIA (Registered Health Information Administrator)Outpatient:CPC-H (Certified Professional Coder – Hospital Outpatient), or CPC (Certified Professional Coder), or COC (Certified Outpatient Coder), orCCS-P (Certified Coding Specialist-Phys Based) or,CCS (Certified Coding Specialist), or RHIT (Registered Health Information Technician), orRHIA (Registered Health Information Administrator) Required

Required Skill Profession

Other General