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The Health Information Coder reviews and codes patient medical records to ensure accurate documentation and billing compliance. They also support the Revenue Cycle team by auditing charges and maintaining coding standards.
The Health Information Coder is responsible for reviewing, coding, and maintaining patient medical records to ensure accurate documentation of patient care, appropriate reimbursement, and compliance with applicable coding standards and regulations. This position supports the Revenue Cycle team by ensuring accounts are complete, accurate, and ready for billing while maintaining required registries and records.
The following duties are essential to the position. Other duties may be assigned as needed.
Medical Record Review: Review inpatient and outpatient medical records for completeness, including required documentation, provider orders, test results, and other supporting information.
Medical Coding: Process coding work queues by reviewing and coding patient accounts for accuracy, completeness, and compliance. Utilize coding software to assign and enter procedure, admission, discharge, present-on-admission (POA), and other applicable codes to prepare accounts for billing.
Charge Review and Auditing: Review, audit, correct, and enter professional staff charges as needed for FMN, observation, inpatient, outpatient surgery, outpatient nursing, and emergency department (ED) accounts.
Coding Support: Assist team members and providers with coding and charging questions. Review and audit accounts as requested to help ensure accuracy and compliance.
Regulatory Compliance and Education: Maintain current knowledge of coding standards, regulatory requirements, and coding software updates. Communicate relevant changes and updates to staff and providers as appropriate.
To perform this job successfully, an individual must be able to carry out each essential duty satisfactorily. The qualifications listed below represent the knowledge, skills, and abilities required for the position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
High school diploma or GED required.
Completion of a medical coding program through AAPC or AHIMA required.
Current coding certification through AAPC or AHIMA required.
Minimum of one year of medical coding experience required.
Why Clark Fork Valley Hospital
Clark Fork Valley Hospital is a great place to work, we truly live our mission of Quality Care Close to Home. Nestled along the Clark Fork River, Plains is a small community with that true home town feel. If you feel like getting a taste of the city Missoula and Kalispell are an hour drive. As the largest employer in Sanders County, we would love for you to join our team.
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