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Arbor Health is a great place to work. In addition to being an equal-opportunity employer, offering competitive compensation and excellent benefits for our employees, we truly appreciate and value our staff. One of the ways we demonstrate our appreciation is our Employee Recognition Program.

If you are ready for a new adventure in life, we want to invite you to consider a job in an organization that prides itself in community support, employee engagement and financial stability. We believe we are “just what the doctor ordered” for you.

Arbor Health is committed to providing a drug-free work environment. Pre-employment substance abuse screening is required as a condition of employment.

Information regarding the Family and Medical Leave Act (FMLA) can be found here.

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Email completed application to kforrest@myarborhealth.org or kolive@myarborhealth.org.

Coder I (Full Time)

Category:

Administrative/Clerical

Description:

The Coder I reviews medical records, codes, abstracts and sequences all applicable diagnoses and procedures for all patient types, using the most accurate codes for reimbursement, research, epidemiology, statistical analysis outcomes, financial and strategic planning, evaluation of quality of care, and communication to support the patient’s treatment. The Coder I selects the most accurate and descriptive codes from the listings of International Classification of Diseases, Tenth Revision, Clinical Modification, (ICD-10-CM) American Medical Association Current Procedural Terminology (CPT-4) Coding system, and Healthcare Common Procedure Coding System (HCPCS) Must be able to work independently utilizing a computerized encoder and/or books and any other form of coding assistance as approved by Lewis County Hospital District No. 1. The Coder I has an in depth understanding of medical necessity. Maintains the confidentiality of medical records in accordance with state and federal requirements.

Minimum qualifications:

  • High School diploma or GED equivalent. Individual will be trained in ICD 10 CM. Well-grounded knowledge of medical terminology , anatomy & physiology is required. Ability to read, write, and communicate effectively is essential.
  • An Associate’s Degree in Health Information Management (RHIT), or CCS is preferred.
  • No previous coding experience required.

Primary job responsibilities:

  • Knowledge of medical terminology, abbreviations, anatomy and physiology; major disease processes and pharmacology.

  • Knowledge of classification systems, ICD-10 nomenclature, CPT-4 and HCPCS nomenclature coding rules, guidelines and proper sequencing.

  • Knowledge of Joint Commission, Department of Health, HIPAA and other regulatory requirements impacting the quality and accuracy of medical records.

  • Maintains understanding of how to access coding tools such as coding clinic and CPT Assistant as well as other coding related references

  • Coder will utilize Cerner for entering codes and abstracting

  • Coder will be able to utilize the 3M encoder.

  • Understands the elements required for a valid outpatient order.

  • Coder understands medical necessity and is able to use medical necessity software such as Caremedic or 3M, Mediregs, Medassets, in addition to having the ability to locate paper/web based national/local care determination policies (NCDs/LCDs) to validate medical necessity.

  • Coder will ensure accurate charge capture for all patient types

  • Contacts ordering physician/department to clarify outpatient orders as needed; Radiology, Lab, Infusion/Injection, or other orders. Ensures outpatient orders contain all required elements and concurrently reviews documentation, whenever possible, to ensure required elements for coding are present.

  • Coder will complete assigned coding within the bill hold parameters defined by Arbor Health.

  • Coder will strive for an overall 95% accuracy rate for all patient types

  • Utilization of the coding query process to providers to request missing information. Corrects records with inconsistent information and/or containing discrepancies.

  • Participates in performance improvement activities.

  • Skill in reading medical records, and finding and resolving documentation discrepancies.

  • Maintains an understanding of reimbursement methodologies, e.g. CAH reimbursement, as well as DRGs, APCs and Value based codes

  • Skill in effective verbal and written communication with peers, physicians and other hospital staff.

  • Maintains compliance with both external regulatory and accreditation requirements, and with State and Federal regulations.

  • Provides education and feedback to physician and professional staff regarding changes in coding methodology and documentation procedures.

  • Ability to perform analysis of medical records for completeness including signatures, required reports and other required information.

  • Verification of requests for health information and performance of release of information as required.

  • Performs other duties as assigned or required.

Standard for portrayal of mission and values:

  • Employee demonstrates and fosters the Lewis County Hospital District No. 1 core values of - One team, on Mission. Go out of your way, to brighten someone's day. Own it, embrace it. Care like crazy. Motivate, elevate, appreciate. Know the way, show the way, ease the way. Find joy along the way.
  • Employee demonstrates and fosters the mission of Lewis County Hospital District No. 1 to foster trust and nurture a healthy community.
  • Is cooperative and supportive to others within the department and hospital providing care and services.
  • Treats individuals including patients, co-workers, supervisors, management, patient families, physicians, volunteers, visitors and others with respect, dignity and fairness.
  • Behaves professionally and ethically in all interactions with patients, co-workers, supervisors, management, patients' families, physicians volunteers, and others.
  • Is consistently courteous to patients, co-workers, supervisors, management, patient’s families, physicians, volunteers and others; greets individuals and provides assistance and direction in an attentive and helpful manner.
  • Willingly strives at continuous quality improvement to achieve quality work the first time every time.
  • Is willing to learn new procedures and develop new skills for the purpose of improving quality of care and services.
  • Willingly participates as a member of work team(s) supporting the goals and objectives of the department and the district.
  • When answering the telephone, is courteous to caller, clearly identifies department, name and takes a message or directs calls as necessary in a helpful manner.

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Open until filled