Coder - HIM - Full Time

The Broadlawns Medical Center campus includes an acute care hospital, primary and specialty care clinics, urgent care and emergency services, lab, radiology, dentistry, inpatient and outpatient mental health, crisis team, and community-based behavioral support services. Broadlawns accepts all forms of insurance and its approach to healthcare and quality outcomes earned a Level 3 rating from the National Committee for Quality Assurance, the highest achievable status for a medical delivery model.

We are a safety net hospital and our Patients are our North Star! With a dedicated staff of over 160 physicians and 1,600 employees, Broadlawns Medical Center ensures that our community has access to high quality healthcare that is coordinated, compassionate and cost-effective. We provide our employees a top-rated benefits package, supportive work culture, and more! 

General Description

Analyzes inpatient, observation, and outpatient records to determine appropriate ICD-10-CM and CPT codes assignments to reflect patient diagnoses and procedures. This information is used for reimbursement as well as statistical purposes. Assigns DRG, ambulatory patient groups (APG) and ambulatory patient classifications (APC) to appropriate patient cases. Provides feedback to medical and ancillary staff and serves as a resource to the facility with regard to inpatient, observation, and outpatient coding.

Characteristic Duties

1. Thoroughly reviews medical records to ascertain all diagnoses/procedures.

2. Utilizes computerized coding/abstracting software program to determine appropriate sequence and optimal DRG, APG, APC assignment allowable under the federal and state payment systems.

3. Validates codes and DRG assignment after discharge.

4. Apprises the supervisor of any problems regarding Performance Improvement, Utilization Management, Infection Control and Risk Management review activities during the course of review.

5. Communicates with physicians and other staff in a professional, tactful manner.

6. Monitors status of encounters for appropriate code assignment and works with Patient Financial Services to expedite final billing.

7. Participates in ongoing continuing education with respect to ICD-10-CM and CPT coding as well as DRG, APG, and APC assignment.

8. Assists in cross training staff in the MIM Department for concurrent review processes and outpatient processes.

9. Acts as a liaison and serves as a resource to the medical, social services and nursing staff, and other ancillary departments as necessary.

10. Retrieves data for monitoring and evaluation studies, assists in data collection for external agencies as necessary.

Performance Standards

1. Fills in required fields on abstract accurately and consistently.

2. Meets productivity standards for finalizing Inpatient/Outpatient and Clinic accounts at a minimum rate of 90%.

3. Meets accuracy standard of having 95% of principal/secondary diagnoses and procedures appropriately/correctly coded.

4. Accurately enters CPT codes into charge entry screen in Meditech consistently.

Minimum Qualifications

1. Two year degree in health information management or equivalent combination of education and experience.

2. Accreditation as a RHIA or RHIT or certification as a CCS, CCA, CPC or equivalent.

Preferred Qualifications

1. Professional certification by the American Health Information Management Association (AHIMA) as a CCS.

2. Professional certification by the American Association of Professional Codes (AAPC) as a CPC.

3. One year of previous experience with ICD-10-CM and or HCPCS/CPT coding.

Work Shift

8a-4:30p (United States of America)

Benefits (FT/PT) 

• Retirement - IPERS 

• Education Assistance 

• Employee Health & Wellness 

• PTO 

• Free Parking

• Health Insurance 

• Supplemental Insurance 

• 529 College Savings Plan 

• And more! 

Broadlawns Medical Center is an Equal Opportunity Employer