HIM Coder I
WellSpan Health
**General Summary**
Collects, reviews, retrieves and codes data from electronic records and scanned physician orders on outpatient ancillary or emergency accounts, assigning the appropriate ICD-10-CM codes for the purposes of compliance with regulations, statistical compilation, and optimal reimbursement.
**Duties and Responsibilities**
**Essential Functions:**
+ Reviews physician reports, radiology reports, physician orders and other documentation and assigns appropriate ICD-10 diagnoses codes following established organizational guidelines and to support medical necessity
+ Follows Official Guidelines for Coding and Reporting using encoding software to identify coding edits and reviews Epic documentation to institute appropriate course of action.
+ Works assigned Epic Account, Charge Review or Claim Edit work queues to identify and investigate Epic edits for coding errors, charge capture, or claim edits and reviews Epic documentation to institute appropriate course of action according with NCCI, LCD, OCE and CPT guidelines. Works with billing and ancillary departments to resolve billing edits and inquiries.
+ Abstracts clinical data, including Attending Physician, Surgeon, Consultant, and discharge disposition for accurate reporting and claim submission.
+ Performs other duties that may be assigned by authorized personnel or as required to meet emergency needs of the department or Hospital.
**Common Expectations:**
+ Maintains job specific standards and expectations relative to productivity and quality.
+ Maintains established policies and procedures, objectives, quality assessment and safety standards.
+ Participates in educational programs and in-service meetings.
+ Maintains professional growth and development and professional credentials.
+ Provides outstanding service to all customers; fosters teamwork; and practices fiscal responsibility through improvement and innovation.
**Qualifications**
**Minimum Education:**
+ High School Diploma or GED Required
**Work Experience:**
+ Less than 1 year Relevant experience. Required
**Licenses:**
+ Certified Coding Associate Upon Hire Required or
+ Certified Coding Specialist Upon Hire Required or
+ Certified Coding Specialist - Physician Based Upon Hire Required or
+ Certified Interventional Radiology Cardiovascular Coder Upon Hire Required or
+ Certified Professional Coder Upon Hire Required or
+ Certified Professional Coder Apprentice Upon Hire Required or
+ Registered Health Information Technician Upon Hire Required or
+ Registered Health Information Administrator Upon Hire Required
**Knowledge, Skills, and Abilities:**
+ Knowledge of ICD-10-CM and CPT coding; knowledge of medical terminology.
+ Basic computer skills
**Benefits Offered:**
Comprehensive health benefits
Flexible spending and health savings accounts
Retirement savings plan
Paid time off (PTO)
Short-term disability
Education assistance
Financial education and support, including DailyPay
Wellness and Wellbeing programs
Caregiver support via Wellthy
Childcare referral service via Wellthy
**Quality of Life**
Founded in 1741, the city of York is considered by many as the first capital of the United States. The Articles of Confederation were signed by the Second Continental Congress here in 1777. Its beautifully restored historic district is an architectural treasure. While York retains its farming and manufacturing heritage, at its heart York is a thriving cultural community that has attracted creative talent and innovative entrepreneurial investors from across the nation.
Life in York County offers affordable housing, options for higher education, a thriving arts and cultural community, historical attractions, parks and recreational resources, semi-professional baseball team, fine dining and more - within an easy drive of major East Coast cities.
York County residents can find local employment in healthcare, manufacturing, technology, agricultural and service sectors. (Patient population: 445,000)
WellSpan Health is an Equal Opportunity Employer. It is the policy and intention of the System to maintain consistent and equal treatment toward applicants and employees of all job classifications without regard to age, sex, race, color, religion, sexual orientation, gender identity, transgender status, national origin, ancestry, veteran status, disability, or any other legally protected characteristic.
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