Medical Coder Sr

SUMMARY
The Medical Coder Senior provides the highest expert coding support within the Health Information Management (HIM) department. This role is responsible for accurately assigning ICD-10-CM diagnosis codes, ICD-10 PCS procedure codes, and CPT procedure codes utilizing encoding software and online reference tools. All coding is performed in strict accordance with American Medical Association (AMA) and Centers for Medicare & Medicaid Services (CMS) guidelines and regulations to ensure compliance and optimal reimbursement.

POPULATION SPECIFIC CARE
No direct patient care.

ESSENTIAL FUNCTIONS
An employee in this position may be called upon to do any or all of the following essential functions. These examples do not include all of the functions which the employee may be expected to perform.

1. Reviews medical records to determine all appropriate facility and/or provider-based diagnosis and procedure code(s). The scope of work is all encompassing to the highest complexity up to Inpatient including both concurrent and discharge coding as required. Performs associate and intermediate level coding as required.
2. Analyses, researches and corrects moderately complex data integrity issues. Abstracts and collects pertinent patient information housed in the EHR.
3. Contributes to coding compliance and departmental objectives by continuously developing coding abilities and performing duties in harmony with established professional coding standards.
4. Collaborates with the CDI for documentation improvement and to ensure accurate DRG assignment.
5. Efficiency utilizes online coding software for accuracy including analyzing coding edits and applies any applicable modifiers, and resource coding reference tools to perform day-to-day functions
6. Maintains accuracy for coding and productivity standards. Adheres to standard ethical coding guidelines established by professional health information management associations.
7. Seeks documentation clarification from healthcare providers or other designated resources to ensure accurate and complete coding including accuracy in billing for facility and/or professional services.

SCOPE AND LEVEL
Guidelines: Guidelines are generally but not always clearly applicable, requiring the employee to exercise judgment in selecting the most pertinent guideline, interpret precedents, adapt standard practices to differing situations, and recommend alternative actions in situations without precedent.
Complexity: Duties assigned are generally complex and may be of substantial intricacy. Work assignment is performed within an established framework under general instructions but requires simultaneous coordination of assigned functions or projects in various stages of completion.
Decision Making: Exercises judgment and discretion, and is responsible for determining the time, place and sequence of the work performed.
Communications: Contacts with the public or employees where explanatory or interpretive information is exchanged, defended, and gathered and discretion and judgment are required within the parameters of the job function.
Supervision Received: Performs work with minimal supervisory oversight. Under general supervision, the employee receives assignments and is expected to carry them through to completion with substantial independence. Work is reviewed for adherence to instructions, accuracy, completeness, and conformance to standard practice or precedent. Recurring work clearly covered by guidelines may or may not be reviewed.

MINIMUM QUALIFICATIONS
EDUCATION: High School Diploma or equivalent GED.
EXPERIENCE: Five (5) years of medical hospital or provider-based coding and charging experience.
EQUIVALENCY: None.
CERTIFICATION(S) - One (1) of the following is required:
* Certified Coding Specialist (CCS)
* Certified Professional Coder (CPC)
* Certified Coding Specialist - Physician Based (CCS-P)
* Registered Health Information Administrator (RHIA)
* Registered Health Information Technician (RHIT)
LICENSURE(S): None.

Schedule/Shift

• 40hrs FT
• M-F 8-430p
• Remote

Salary Information
Pay is dependent on applicant's relevant experience.

Hourly Range: $25.70 to $38.55

Benefits Information
Here, you matter. As a Children's Hospital Colorado team member, you will receive a competitive pay and benefits package designed to take care of your needs that includes base pay, incentives, paid time off, medical/dental/vision insurance, company provided life and disability insurance, paid parental leave, 403b employer match (retirement savings), a robust wellness program, and access to professional development tools, including an education benefit to help you advance your career.

As part of our Total Rewards package, Children's Colorado offers an annual employee bonus program that rewards eligible team members based on organizational performance. If organizational goals are met for the year, the bonus is paid out the following April.

Children's Colorado delivers annual base pay increases to eligible team members based on their performance over the previous year.

EEO Statement
It is our intention that all qualified applicants be given equal opportunity and that selection decisions be based on job-related factors. We do not discriminate on the basis of race, color, religion, national origin, sex, age, disability, or any other status protected by law or regulation. Be aware that none of the questions are intended to imply illegal preferences or discrimination based on non-job-related information. The position is expected to stay open until the posted close date. Please submit your application as soon as possible as the posting is subject to close at any time once a sufficient pool of qualified applicants is obtained.

Colorado Residents: In any materials you submit, you may redact or remove age-identifying information such as age, date of birth, or dates of attendance at or graduation from an educational institution. You will not be penalized for redacting or removing this information.