Coder I

Intermountain Health

Job Description:

Codes and abstracts hospital record data using International Classification of Diseases Clinical Modification (ICD-10-CM) codes at an entry level of complexity.

Scope

1. This position assigns ICD-10-CM, Hierarchical Condition Coding (HCC), Current Procedural Terminology (CPT), and Healthcare Common Procedural Coding System (HCPCS) coding classifications based on clinical documentation and/or physician orders. Utilizes appropriate tools, resources, and coding guidelines to determine codes and assigns first listed diagnosis and secondary diagnoses codes. Obtains clarification from physicians, clinical departments, and others on documentation questions as needed. Performs coding at an entry level of coding complexity to ensure

proper hospital reimbursement.

2. Audits and edits results of data provided by technology tools and resolves edits to send out a clean and accurate claim.

3. Collaborates with internal patient access to acquire correct and compliant diagnosis(es) to meet Advance Beneficiary Notice of Noncoverage (ABN) requirements and compliant billing regulations.

4. Maintains assigned work queues within defined processing time, meets productivity standards, and meets quality standards of 95% accuracy or better.

5. Verifies data abstracted and entered from the EHR. Ensures integrity of the database for internal and external data reporting.

6. Responds promptly to inquiries from revenue services related to the use of codes and modifiers within the billing process to assure accuracy and avoid delays in the billing process.

7. Adheres to all internal and external compliance guidelines. Participates in continuing education programs to maintain an understanding of anatomy, physiology, medical terminology, disease processes, and surgical techniques to support the effective application of coding guidelines and maintains credentials if applicable.

8. Stays abreast of coding guidelines, reimbursement methodologies, risk adjustment, and regulatory

compliance. Maintains thorough and current knowledge of clinical care and treatment options to critically assess appropriateness of documentation.

9. Assists as needed with billing/audit questions to ensure accurate reimbursement, facility inquiries, education, statistical analysis.

10. Identifies the need to clarify documentation in the medical record and communicates

with physicians using the appropriate “query” tools according to the American Health Information Management Association (AHIMA) Guidelines for Achieving a Compliant Query Practice.

11. Promotes the mission, vision, and values of Intermountain Health, and abides by service behavior standards.

Minimum Qualifications

High School Diploma or equivalent and completed course work in medical terminology and anatomy and physiology.

OR High School Diploma or equivalent AND currently enrolled in medical terminology and anatomy and physiology courses.

OR High School Diploma or equivalent AND currently enrolled in Coding certification program.

Ability to work independently in a remote environment.

Demonstrates attention to detail for accuracy requirements.

Preferred Qualifications

On-site Health Information practicum experience. Outpatient coding experience in an acute care facility setting.

Understanding of billing, hospital reimbursement, and compliance background.

Ability to communicate effectively and diplomatically within a multi-functional team.

Experience with EPIC EHR and 3M 360 CAC, using 3M automation tools.

Experience with Microsoft Suite (Excel, Word, Outlook).

Physical Requirements:

Remain sitting or standing for long periods of time to perform work on computer.

AND

See and read computer monitors and documents.

AND

Interact with others requiring the employee to communicate information.

AND

Operate computers and other equipment requiring the ability to move fingers and hands.

Anticipated job posting close date:

06/22/2024

Location:

Peaks Regional Office

Work City:

Broomfield

Work State:

Colorado

Scheduled Weekly Hours:

40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

$18.29 – $29.09

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits packages for our Idaho, Nevada, and Utah based caregivers (https://intermountainhealthcare.org/careers/working-for-intermountain/employee-benefits/) , and for our Colorado, Montana, and Kansas based caregivers (http://www.sclhealthbenefits.org) ; and our commitment to diversity, equity, and inclusion (https://intermountainhealthcare.org/careers/working-for-intermountain/diversity/) .

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

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