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Summary:

The HIM Coder Analyst I requires 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-10-CMPCS and CPT 4 codes accurately and timely to the highest level of specificity based upon physician documentation for emergency department, outpatient clinic as the major responsibility and may assist with ambulatory surgery designated as simple cases. The HIM Coder Analyst I abstracts specified information from the patient medical record, enters the data into the electronic health record system for billing and use in all types of company reporting. Minimum expected accuracy rate for all coding is 95% or above. The HIM Coder Analyst I communicates with physicians and other providers regarding documentation requirements and collaborates with Clinical Documentation Specialists regarding documentation and coding requirements. Maintains current knowledge of coding and documentation changes, rules and guidelines.

A successful candidate would have the ability to work well independently and productively with minimal guidance and without direct supervision. The HIM Coder Analyst I is highly detail oriented, can remain focused with good organization, interpersonal and communication skills. They can maintain confidentiality, are goal oriented, flexible, and energetic. Demonstrates coding, and critical thinking skills. Ability to solve problems appropriately using job knowledge and current policies and procedures. Qualifications

• One (1) year current and continuous full time ICD-10 & CPT-4 coding experience

• 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

• Microsoft Office Excel and Word

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

Preferred Certifications:

• Registered Health Information Administrator (RHIA)

• Registered Health Information Technician (RHIT)

• Certified Coding Specialist (CCS)

• Certified Professional Coder (CPC)

Candidates with AHIMA credentials must provide current continuing education (CE) records.

Candidates Without a Current Credential Must Meet One of the Following Requirements:

Experienced Coders

• Provide documentation of extensive coding experience.

• Submit educational certificates demonstrating completion of coursework in:

  • Anatomy

  • Pathophysiology

  • Medical Terminology

  • ICD-10-CM

  • CPT-4

• Obtain the Certified Coding Associate (CCA) credential within 6 months of hire.

• Obtain the Certified Coding Specialist (CCS) credential within 12 months of hire.

New Graduates

• Provide proof of completion of an AHIMA- or AAPC-accredited program within the last 3 months.

• Be eligible and approved to sit for a national certification exam (RHIA, RHIT, CCS, or CPC).

• Obtain the applicable certification within 3 months of graduation.

About Us:

Cook Children’s is an equal opportunity employer. As such, Cook Children’s offers equal employment opportunities without regard to race, color, religion, sex, age, national origin, physical or mental disability, pregnancy, protected veteran status, genetic information, or any other protected class in accordance with applicable federal laws. These opportunities include terms, conditions and privileges of employment, including but not limited to hiring, job placement, training, compensation, discipline, advancement and termination.

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