Medical Records Coder II - Part-Time Remote

1w1 week ago

UVM Health - CVMC

US · Part-time · $44,000 – $68,000

About this role

The Medical Records Coder II applies knowledge of ICD-10 and CPT-4 nomenclatures along with American Hospital Association, American Medical Association, and applicable Federal and third party payer guidelines. This role accurately determines principal and secondary ICD-10 diagnoses codes and procedure codes for all visits. It also assigns corresponding CPT-4 codes for procedures, surgeries, inpatient and emergency room evaluation and management.

Employees analyze clinical documentation of inpatient and/or outpatient records using knowledge of anatomy, physiology, medical terminology, and pathology of disease processes. They follow CVMC compliance and HIM coding compliance policies while meeting productivity standards to maintain financial goals. Various electronic systems like 3M Coding, EPIC, Anthem, and CMS are utilized for coding and regulatory information.

The role requires knowledge of charge master and charge maintenance. Employees effectively communicate with health care providers, department managers, and staff to resolve documentation, charge, or other issues ensuring coding accuracy and reimbursement. They act as a resource in the Medical Records Coding department at CVMC.

Medical Records Coder II adheres to the HIM Mission and Vision. Employees continually seek to improve coding knowledge through seminars, articles, networking, web access, and other available mediums. This part-time position offers remote work option for in-state workers.

Requirements

High school diploma or equivalent degree
Coding certification through the American Health Information Management Association or the American Academy of Professional Coders
Minimum of 2 years coding experience utilizing ICD-10 and CPT-4 coding
Successfully completed a course in Medical Terminology and Anatomy and Physiology, or willing to obtain within one year of hire
Knowledge of current American Medical Association and American Health Association Coding Guidelines, State and Federal Regulations
Aptitude to review and interpret documentation for accurate coding and charging practices
Maintain coding certification to remain in position

Responsibilities

Apply knowledge of ICD-10 and CPT-4 nomenclatures to determine principal and secondary diagnoses and procedure codes
Assign corresponding CPT-4 codes for procedure and surgery cases, inpatient and emergency room evaluation and management
Analyze clinical documentation of inpatient and/or outpatient records using anatomy, physiology, medical terminology, and pathology
Follow CVMC compliance and HIM coding compliance policies and meet productivity standards
Utilize 3M Coding and Reimbursement Systems, EPIC, Anthem, CMS, and other web-based tools
Communicate with health care providers and staff to resolve documentation and charge issues
Apply knowledge of charge master and charge maintenance