HIM Coder

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HIM Coder Trego County Lemke Memorial Hospital – WaKeeney, KS

The HIM Coder is accountable for conversion of diagnoses and treatment procedures into codes using an international classification of diseases. Requires skill in the sequencing of diagnoses/procedures to optimize reimbursement. Ensures that records are coded in an accurate and timely manner.

Requirements

• RHIT or CCS certified coder
• Adheres to dress code, appearance is neat and clean.
• Completes annual education requirements.
• Maintains regulatory requirements.
• Maintains patient confidentiality at all times.
• Reports to work on time and as scheduled, completes work within designated time.
• Wears identification while on duty, uses computerized punch time system correctly.
• Attends annual review and department services, as scheduled.
• Attends the required staff meetings annually, reads and returns all monthly staff meeting minutes.
• Represents the organization in a positive and professional manner.
• Actively participates in performance improvement and continuous quality improvement (CQI) activities.
• Complies with all organizational policies regarding ethical business practices.
• Communicates the mission, ethics and goals of the hospital, as well as the focus statement of the department.

Responsibilities

• Ensures that records are coded within 24 hours of discharge, excluding weekends and holidays.

• Reviews chart thoroughly to ascertain all diagnoses/procedures.

• Contacts responsible physician in a professional, tactful manner, if diagnosis is not available on chart.

• Coder’s diagnoses and procedures on clinical summary agree with physician’s preference 100% of the time.

• Refers chart to director, If there is a question regarding the diagnoses/codes.

• Utilizes computerized coding/abstracting equipment.

• Codes all diagnoses/procedures in accordance to ICD-9-CM coding principles and the Coding Manual.

• Logs diagnoses, procedures and other abstracting data on worksheet for abstractor to input into computer.

• Meets productivity standard of assigning codes to a minimum of three charts per hour on federally funded patients and six charts on non-federally funded patients.

• Meets quality standards of having 95% of principal diagnoses and procedures appropriately and/or correctly coded.

• Maintains 99% rate of information correctly abstracted.

• Maintains the number of DRG/coding changes below the 3% quarterly per PRO threshold.

• Reviews coding periodicals within 7 days of receipt.

• Updates the Coding Manual on an ongoing basis.

• Notifies director whenever work is more than 48 hours behind work deadline.

• Assists the director with state requirements and reports.

• Ensures data quality and optimum reimbursement allowable under the federal and state payment systems.

• Acts as a resource person to hospital staff for coding and may provide education regarding coding changes/issues.

• Must be familiar with all charting and coding requirements, including pediatric and SNF.

• Maintains a good working relationship within the department, other departments and medical staff.

• Must be familiar with the following manuals: Administration, Health Information Management Services, Emergency Management and Safety.

• Performs performance improvement functions through data collection and documentation review

• Willing to accept additional assignments

To apply

Submit a cover letter with application, resume and references via regular mail, fax or email to: Neva Flax, Executive Assistant; Human Resources; Trego County Lemke Memorial Hospital; 320 N. 13th St., WaKeeney, KS 67672; fax (785) 743-6317; or email nflax@tclmh.org

Applications available on our website at www.tclmh.org or contact Neva Flax at (785) 743-2182 ext. 100

Applications accepted until filled.

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We are a progressive CAH hospital with in-patient, swing bed, out-patient, home health, assisted living, long-term care, and clinic services.

Candidates must be energetic, possess strong leadership skills, willing to work as a team, have a positive attitude, friendly and compassionate toward patients.

For hospital information: www.tclmh.org

For community information: www.tregocountyks.com

TCLMH is an Equal Opportunity Provider/Employer (EOE) and a tobacco free campus