Job description

SUMMARY STATEMENT & PURPOSE

The Health Information Management Coder is responsible for assembling and analyzing medical records in accordance with hospital/departmental policies and procedures, performing audits in accordance with established federal rules and regulations, abstracting and coding clinical data using standard classification systems, and processing requests for patient health information. Performs a variety of tasks and assists the Director of Medical Records in other clerical duties.

All employees are expected to be pleasant, respectful, and courteous in all interactions with patients, families, staff, and visitors of the Hospital, as well as being a positive representative of INBH at all times.

MINIMUM QUALIFICATIONS

· A minimum of one (1) year of coding or medical records experience

· ICD-10-CM coding knowledge and knowledge of medical terminology

· Knowledge in information privacy laws, access, and release of information

· RHIT, RHIA, CCS or CPC or CPC-H Certification required

PREFERRED QUALIFICATIONS

· Experience in an inpatient setting preferred

SPECIFIC PERFORMANCE RESPONSIBILITIES

All functions are essential functions unless otherwise noted.

The job functions of this position are not limited to the duties listed below.

1. Assembles and analyzes patient records in accordance with hospital and department policies and procedures.

2. Identifies deficiencies including missing reports, entries, and signatures in charts during inpatient admissions and within three working days following discharge.

3. Assembles new charts for patient admission including face sheets and appropriate forms.

4. Maintains the Master Patient Index including dates of admission, transfer, and discharge and the patient’s medical record number.

5. Answers telephone inquiries from internal and external sources regarding information relating to protected health information.

6. Performs regular rounding picking up and delivering reports, charts, and other requested materials to departments throughout the hospital.

7. Processes Release of Information requests in accordance with hospital, federal, and state mental health regulations disclosure of protected health information whenever releasing information.

8. Monitors and tracks access to all protected health information for staff and personnel through the HIM policy and procedure for “checking out” information.

9. Abstracts and codes clinical data using standard classification systems

10. Abstracts clinical data deficiencies from each discharged medical record and inputs data into computer. Notifies physicians and clinical staff of deficiencies and updates incomplete lists as required

11. Assigns appropriate diagnostic codes utilizing ICD=10-CM and DSM-V Crosswalk diagnoses codes to dictated psychiatric evaluation and discharge summary reports.

12. Enters admitting and discharge diagnoses codes into appropriate payment software and tracks as needed.

13. Performs audits in accordance with established federal rules and regulations

14. Audits all discharged medical records in accordance with UHS criteria and notifies appropriate managers and physicians of incomplete medical record deficiencies

Job Type: Full-time

Pay: $19.00 - $28.50 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Employee assistance program
• Employee discount
• Flexible schedule
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Ability to commute/relocate:

• Spokane, WA 99204: Reliably commute or planning to relocate before starting work (Required)

License/Certification:

• RHIT or RHIA (Required)

Work Location: One location

colinoncars.com is the go-to platform for job seekers looking for the best job postings from around the web. With a focus on quality, the platform guarantees that all job postings are from reliable sources and are up-to-date. It also offers a variety of tools to help users find the perfect job for them, such as searching by location and filtering by industry. Furthermore, colinoncars.com provides helpful resources like resume tips and career advice to give job seekers an edge in their search. With its commitment to quality and user-friendliness, colinoncars.com is the ideal place to find your next job.