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HIM Coder & Chart Analyst II

HIM Coder & Chart Analyst II

at Woodlawn Health Ctr

Posted: 5-2-2025

Remote

Healthcare

Ï

$45,650/year

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About this Career

Medical Records Specialists

Skills

Electronic Medical Record, Medical Records, Healthcare Common Procedure Coding Systems, Anatomy, Procedure Codes, Qualitative Analysis, Inpatient Coding, Registered Health Information Administrator (RHIA), Communication, Professionalism, CPT Coding, Billing, Radiology, Registered Health Information Technician (RHIT), Current Procedural Terminology (CPT), Certified Outpatient Coder (COC), Medical Terminology, Ad Hoc Reporting, Data Integrity, Clinical Documentation, Surgery, ICD Coding (ICD-9/ICD-10), Certified Coding Specialist (CCS), Data Entry, Quality Improvement, Computerized Physician Order Entry, Physiology, Pathology

Job Description

HIM Coder & Chart Analyst
II 3.2 3.2
out of 5 stars Rochester, IN 46975 • Hybrid work Join the Woodlawn Team as a Coder & Chart Analyst II in our Health Information Management Department! Our Mission is to provide excellent healthcare services by highly skilled staff in a compassionate and caring manner. We know that our employees are essential to the care we provide! Our core values are as follows: Courtesy, Respect, Caring, Professionalism, Confidentiality, Integrity, and Accountability.
EDUCATIONAL REQUIREMENTS AND QUALIFICATIONS
High School diploma/GED or relevant experience is required. Formal education in anatomy and physiology, medical terminology, disease processes, content of a medical record, coding of diagnoses using ICD-10-CM and procedures using ICD-10PCS and Current Procedural Terminology (CPT) required. Minimum of 10+ years' experience in a healthcare environment is required with current experience with inpatient, observation, and surgery coding. One or more of the following credentials are required:
RHIA, RHIT, CCS
Additional preferred but not required
CPC, COC
Demonstrate ability to communicate and work in a professional manner with members of the medical staff, government agencies, and third party payers. Knowledge and ability to read, interpret and follow hospital and government rules and regulations relating to but not limited to safety, privacy, security, procedural manuals and official coding guidelines. Ability to communicate effectively and professionally with internal and external customers and co-workers. Demonstrate knowledge and skill in computerized data entry and retrieval systems. Willingness to continue education on coding, guidelines and CMS, WPS, and HFAP guidelines and/or standards. Ability to aggregate data and ensure data integrity by analyzing reports built in the EMR and EHR. Ability to build ad hoc reports. Then transition data into useable information for trending the financial impact to the organization.
PRIMARY DUTIES
Contacts appropriate medical staff members and makes queries to rectify inconsistencies, deficiencies, and discrepancies in medical record documentation. Reviews the medical record for continuing quality improvement activities, performs quality improvement activities in support of hospital-wide medical documentation concerns. Performs clinical pertinence review on randomly selected medical records against specified criteria, as requested Calculate the impact of record reviews and present it to necessary committees at the discretion of the Director. Educate staff/physicians on inadequate or missing documentation according to ACHC standards. Query providers for any documentation discrepancies and medically necessary procedures when needed. Reviews and analyzes, abstracts, and codes outpatient and/or inpatient medical records, assigns diagnoses and procedure codes, and provides assistance to the professional staff. Demonstrates knowledge of outpatient and inpatient coding guidelines, including E & M level coding, accreditation references and medical terminology, anatomy and physiology. Codes disease and injury diagnoses, acuity of care, and procedures in a wide range of outpatient and inpatient settings and specialties using the current International Classification of Diseases, Version 10- Clinical Modification
ICD-10-CM/ICD-10-PCS
; American Medical Association Current Procedural Terminology (CPT); Health Care Financing Administration Common Procedure (HCPCS) Coding System. Selects the appropriate code(s) and/or modifier(s) that most accurately describe the correct principal and secondary diagnoses and principal and secondary procedures, based on physician clinical documentation. Bases all coding on what the physician documents in the medical record. Including outpatient physician orders for outpatient services such as radiologist and pathologist reports. Inputs the codes and other discharge data into Electronic Health Record and verifies the accuracy of data entered including charges on outpatient accounts. Performs qualitative analysis to ensure accuracy, internal consistency, and correlation of recorded data. Selects and inputs charge codes, in Electronic Health Record, for facility and professional billing.
Shift:
Monday-Friday; Days; 7:00am-3:30pm OR 8:00am-4:30pm
BENEFITS
Medical Dental Vision Life Insurance & Disability 403(b) with match Paid Vacation Time Paid Sick Time FSA Expected hours: 40 per week
Benefits:
401(k) matching Dental insurance Employee assistance program Flexible spending account Health insurance Life insurance Paid time off Retirement plan Vision insurance
Schedule:
8 hour shift Day shift Monday to Friday Application Question(s): Which of the following required credentials do you currently possess?
RHIA, RHIT, CCS
Work Location:
Hybrid remote in Rochester, IN 46975

Other Job Posting Details

Salary

Minimum

Maximum

$33,820/yr

$64,020/yr

MINIMUM EDUCATION LEVEL

High school or GED

MINIMUM YEARS EXPERIENCE

10