Selected by CHRISTUS Health Coding Leadership to focus coding skills and expertise on designated inpatient or outpatient high-dollar or specialty account types. The Specialty Coder is responsible for maintaining current and high-quality ICD-10-CM, ICD-10-PCS, and/or CPT coding for inpatient and/or outpatient diagnoses and procedural occurrences through review of clinical documentation and diagnostic results, with a consistent coding accuracy rate of 95% or better.
The role accurately abstracts data into appropriate CHRISTUS Health electronic medical record systems, verifies patient dispositions and physician data, and follows Official ICD-10-CM and ICD-10-PCS Guidelines for Coding and Reporting as well as AMA CPT Guidelines.
This position works collaboratively with HIM and Clinical Documentation Specialists to ensure accurate and complete physician documentation that supports billing accuracy and reduces denials. The coder reports to the Regional Coding Manager, with additional leadership from the Director of Coding Operations and System HIM Director.
Responsibilities
- Assign codes for diagnoses, treatments, and procedures according to ICD-10-CM/PCS Official Guidelines for Coding and Reporting.
- Abstract required information from source documentation and enter it into the appropriate electronic medical record system.
- Validate admit orders and discharge dispositions.
- Work from assigned coding queues, completing and re-assigning accounts correctly.
- Manage accounts on ABS Hold and finalize them once corrections have been made.
- Maintain or exceed a 95% accuracy rate.
- Maintain or exceed the designated productivity standard per chart type.
- Follow AHIMA Standards of Ethical Coding.
- Assist in implementing solutions to reduce backend errors.
- Identify and report hospital-acquired conditions (HAC).
- Query providers for missing or unclear documentation in coordination with HIM and CDI staff.
- Participate in internal and external audit discussions.
- Perform other duties assigned by management.
Qualifications
- High school diploma or equivalent years of experience required.
- Completion of an accredited Baccalaureate Health Informatics or Health Information Management program, or an AHIMA-approved Coding Certificate Program, preferred.
- 1 to 3 years of coding experience preferred.
- Strong written and verbal communication skills.
- Ability to work independently in a remote setting with little supervision.
- No licenses, registrations, or certifications required.
Location
San Antonio, Texas, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
Yes
Posted
2 weeks ago