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HIM Coder Analyst III - Military Veterans

at Cook Children's Health Care System

Location:

Medical Center - Fort Worth

Department:

HIM-Coding

Shift:

Standard Weekly Hours:

40

Summary:

The HIM Coder Analyst requires superior knowledge of and skill in applying International Classification of Diseases and Procedures (ICD), and Current Procedural Terminology (CPT) code sets and associated Medicare/Medicaid rules and guidelines. Reviews and interprets patient medical record documentation to identify pertinent diagnoses and procedures and assigns ICD-9-CM, ICD-10-CM/PCS and CPT 4 codes accurately and timely to the highest level of specificity based upon physician documentation for inpatient, observation and outpatient ambulatory procedures/treatment room records. Validates the coded data to one or more Diagnosis Related Groupers (DRG) validates the Present on Admission (POA) indicators for accuracy. Primarily codes more complex and difficult inpatient medical records. Identifies and abstracts specified information from the patient medical record and enters data into the electronic health record system for billing and use in all types of CCHCS reporting. Performs extended length of stay coding for interim cycle billing. During in-house interim coding, reviews for documentation opportunities and queries with CDIS to clarify confusing, incomplete or conflicting information and obtain any needed additional documentation in real time. Assists with coding outpatient surgery, observation outpatient ancillary clinic, specialty clinic and emergency room record visits as necessary. Minimum expected accuracy rate for all coding & DRG assignments is 95% or above. Communicates with physicians and other providers regarding documentation requirements and collaborates with Clinical Documentation Specialists or Quality Auditors on patient cases regarding documentation needs and requirements, and coding and DRG assignment accuracy. Maintains current knowledge of coding, DRG and documentation changes, rules and guidelines.

Education & Experience:

  • High School or Equivalent Required

  • RHIA, RHIT required, with CCS highly desired, or CCS with two (2) year minimum full-time current and continuous ICD-10-CM/PCS hospital inpatient medical record coding and prospective payment system, experience with DRG assignment.

  • Outpatient observation and ambulatory surgery with CPT-4 coding and abstracting experience preferred.

  • Pediatric coding experience highly desired.

  • Technically competent and fluent knowledge in navigation of electronic health record applications, automated encoders, and other software applications and hardware required for job role required.

  • Experience using Microsoft Office Excel and Word highly desired.

  • Ability to work well independently and productively with minimal guidance and without direct supervision.

  • Must be highly detail oriented, have the ability to remain focused with good organization, interpersonal and communication skills.

  • Ability to maintain confidentiality. Goal oriented, flexible and energetic.

  • Demonstrates superior coding skills, and critical thinking skills.

  • Ability to solve problems appropriately using job knowledge and current policies and procedures.

  • Demonstrated coding knowledge and proficiency is required through on-site skills assessment with a passing score of 90% accuracy prior to hire.

  • Licensure, Registration, and/or Certification:

  • Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS) required.

  • Required to provide current American Health Information Management Association (AHIMA) continuing education certification records.

About Us:

Cook Children's Medical Center is the cornerstone of Cook Children's, and offers advanced technologies, research and treatments, surgery, rehabilitation and ancillary services all designed to meet children's needs.

Cook Children's is an EOE/AA, Minority/Female/Disability/Veteran employer.

Cook Children's is an EOE/AA, Minority/Female/Disability/Veteran employer.

Fort Worth, TX

Cook Children's Health Care System

Promise, a strong word with deep meaning that everyone understands—especially kids. This is the foundation of our organization and what drives us to blaze new trails in medical care, research, advanced technology, as well as programs and initiatives that benefit children who may not otherwise have access to quality health care. Every day our employees come to work with the intention of keeping our Promise. It's the guiding principle that helps our patients and their families get better and stay healthy. As a member of our Cook Children's team, you can be an important part of making that happen.

 

At Cook Children's, we believe it's not just about finding a position, it's about finding the right fit for your career.  We are driven by our unique Promise that challenges us every day to push the boundaries of care inside our walls and far beyond them. It motivates us to help ensure that children and families can have healthy, happy lives. This vision not only binds us together, but gives each of us a purpose at work, at home, and in our communities. Our Promise is more than what we do. It's who we are, because ... #WeAreCookChildren's.

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