Job description

We are seeking a Medical Coder to join our team. The successful candidate will be responsible for creating solutions for coding, compiling and validating technical information, updating records and databases and other administrative duties. The ideal candidate will have excellent attention to detail, an aptitude for working in a fast-paced environment and be proficient with all Microsoft Office applications.

Essential Job Duties:

• Accurately abstracts clinical information from medical record documentation for inpatient, outpatient, and clinic records.
• Assigns appropriate ICD-10-CM diagnosis and ICD-10-PCS procedure codes based on documentation, identifies the principal diagnosis and secondary diagnosis for applicable DRG within defined timeframes.
• Queries the attending psychiatrists as appropriate seeking clarification regarding diagnosis/documentation.
• Using 3M encoder enters data accurately into the computer for billing purposes.
• Performs coding prep steps and other related duties related to the coding process, following up on missing discharge diagnosis or documentation.
• Accurately verifies codes used by clinicians, inpatient and outpatient, for all professional fee charges which involves checking the chart for proper documentation related to the code billed on professional fee charges.
• Investigates incomplete/inconsistent documentation and communicates findings to appropriate departments. Provides additional feedback and ideas to improve completion and consistency.
• Mentors and trains the other coders on the team.
• Tracks and reports monthly coding productivity data to HIM Director.
• Participates in all UHS corporate APR-DRG and Medicare coding audits and maintains a coding accuracy rate of 95% or higher on quarterly audits.
• Performs other duties as assigned or as requested.
• All employees of Prairie St. John’s are expected to adhere to safety policies, safe work practices, and other hospital policies. Employees are expected to complete mandatory training on time and attend mandatory meetings.
• In order to meet the essential functions of this position, employees must work as scheduled.
• All staff at Prairie St. John’s may be required to work in different areas/units and varying shifts depending on the business needs of the facility.
• This position is on-site, 40 hours/week, Monday-Friday, daytime hours for an 8-hour shift between 7:00am – 5:00pm.

Position Requirements:

Associate degree in Health Information Technology (or eligible) or Bachelor’s degree in Health Information. Must hold certification either as an RHIT, RHIA, CCS, CCS-P, CPC or CPC-H. One to three years’ experience in inpatient and/or outpatient coding; behavioral health coding experience is preferred but training will be provided. Candidate must be comfortable using a paper record and hybrid record. Position requires above average computer skills with working knowledge of Microsoft Office products including Word, Excel and Outlook. Knowledge of MedSeries4 and 3M Encoder is preferred. Work is extremely detailed and requires logical thinking & reasoning and ability to problem solve while maintaining a high accuracy rate to meet regulatory requirements and UHS corporate coding standards. Must be able to communicate professionally both in verbal and written forms. All coders must follow AHIMA’s Standards for Ethical Coding and Prairie St. John’s Corporate Compliance plan, with emphasis placed on the Billing/Coding section. This position has frequent interruptions, thus needs to be flexible, possess the ability to multitask, and display a professional attitude.

FLSA Status: Non-Exempt

HIPAA Minimum Necessary Access Level: Level I, full access to all medical records.

Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The employee is constantly required to use hands to finger, handle or feel objects, tools or controls and talk and hear. The position is constantly required to sit, reach with hands/arms; and often stands, climbs or balances, stoops, kneels, crouches or crawls. Must possess sight/hearing senses or use prosthetics that will enable these senses to function so the requirements of the position can be fully met. May occasionally lift/carry up to 40 pounds with frequent lifting/carrying up to 25 pounds. The physical demands described here are representative of those that must be met by an employee to successfully meet the requirements of this position.

Work Environment: The work environment is characteristic of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

OSHA Category III: This category involves workers who perform tasks that involve no exposure to blood, body fluids, or tissues and Category I tasks are not a condition of employment. The normal work routine involves no exposure to blood, body fluids, or tissues (although situations can be imagined under which anyone, anywhere, might encounter potential exposure to body fluids). Persons who perform these duties are not called upon as part of their employment to perform or assist in emergency medical care or first aid or to be potentially exposed in some other way. Tasks that involve handling of implements or utensils, use of public or share bathroom facilities or telephones, and personal contacts such as handshaking are Category III tasks.

Job Type: Full-time

Pay: $16.00 - $18.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Employee discount
• Flexible schedule
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision insurance

Schedule:

• 8 hour shift

Supplemental pay types:

• Bonus pay

Ability to commute/relocate:

• Fargo, ND 58103: Reliably commute or planning to relocate before starting work (Required)

Experience:

• Medical billing: 1 year (Preferred)

Work Location: One location

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