Responsible for maintaining current and high-quality ICD-10-CM/PCS coding for all Inpatient diagnoses and procedural occurrences, through the review of clinical documentation and diagnostic results, with a consistent coding accuracy rate of 95% or better. Coder will accurately abstract data into any and all appropriate CHRISTUS Health electronic medical record systems, verifying accurate patient dispositions and physician data, following the Official ICD-10-CM and ICD-10-PCS Guidelines for Coding and Reporting. Inpatient coding is applicable towards all regional Inpatient encounters.
Coder will work collaboratively with various CHRISTUS Health HIM and Clinical Documentation Specialists to ensure accurate and complete physician documentation to support accurate billing and reduce denials. Coder will also assist in other areas of the department, as requested by leadership.
Coder will report directly to their Regional Coding Manager, with additional leadership from the Director of Coding Operations and System HIM Director.
* Assign codes for diagnoses, treatments and procedures according to the ICD-10-CM/PCS Official Guidelines for Coding and Reporting through review of coding critical documentation, to generate appropriate MS/APR DRG.
* Extracts and abstracts required information from source documentation, to be entered into appropriate CHRISTUS Health electronic medical record system.
* Validates admit orders and discharge dispositions.
* Works from assigned coding queue, completing and re-assigning accounts correctly.
* Manages accounts on ABS Hold, finalizing accounts when corrections have been made, in a timely manner.
* Meets or exceeds an accuracy rate of 95%.
* Meets or exceeds the designated CHRISTUS Health Productivity standard per chart type.
* Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA).
* Assists in implementing solutions to reduce backend-errors.
* Identifies and appropriately reports all hospital-acquired conditions (HAC).
* Expertly queries providers for missing or unclear documentation, by working with the HIM department and Clinical Documentation Improvement Specialists.
* Participates in both internal and external audit discussions.
* All other work duties as assigned by Manager.
A. Education/ Skills
High school Diploma or GED
Completion of Accredited Baccalaureate Health Informatics or Health Information Management or an AHIMA approved Coding Certificate Program, preferred.
Strong written and verbal communication skills.
Able to work independently in a remote setting, with little supervision.
Three(3) to five(5) years of Inpatient coding experience in an acute care setting.
C. Licenses, Registrations, or Certifications
Registered Health Information Administrator (RHIA) (AHIMA)
Registered Health Information Technician (RHIT) (AHIMA)
CHRISTUS HEALTH is an international Catholic, faith-based, not-for-profit health system comprised of almost more than 600 services and facilities, including more than 60 hospitals and long-term care facilities, 350 clinics and outpatient centers, and dozens of other health ministries and ventures. CHRISTUS operates in 6 U.S. states, Colombia, Chile and 6 states in Mexico. To support our health care ministry, CHRISTUS Health employs approximately 45,000 Associates and has more than 15,000 physicians on medical staffs who provide care and support for patients. CHRISTUS Health is listed among the top ten largest Catholic health systems in the United States.