Texas Health Resources CODER III FT Days Arlington in Arlington, Texas

Qualifications/Duties:

Hearts makes a difference! Texas Health Resources, One of FORTUNE 100 Best Companies to work for is dedicated to finding people to help us fulfill our commitment to make health care human again. We staff our exemplary hospital with health care professionals who approach every patient, every colleague, every physician and every family member with compassion. Come join us on our Journey as we rise to the next level.

Texas Health Resources seeks to hire a Coder III to work Full-time Days.

LOCATION:

500 E. Border Street, Suite 700

Arlington, TX 76010

WORK SCHEDULE: REMOTE after 90 Days of onsite TRAINING

40 hours weekly, Monday-Friday 8:00 am to 4:30 pm

EDUCATION Required:

Associate's Degree in Health Information Management, Nursing or other healthcare related field.

OR

High School Diploma or Equivalent (GED) with

2 years Coding experience and demonstrated proficiency in lieu of Associate's Degree and

Completion of an accredited ICD-10 Coding program.

OR

Preferred:

Bachelor's Degree in Health Information Management, Nursing or other healthcare related field.

EXPERIENCE Required:

3 years coding experience in a large, complex acute healthcare setting and documented proof of completion of a nationally recognized ICD-10 training/education.

LICENSE / CERTIFICATION:

Required upon hire:

AHIMA or AAPC coding credential

RHIA - Registered Health Information Administrator

RHIT -Registered Health Information Technician

OR

(CCS, CCS-P, CCA, CPC, CPC-H/COC, and/or CIC)

Essential Functions

• Provides critical assessment of the health record documentation to accurately identify pertinent primary and secondary diagnosis and procedures that require ICD-10-CM/PCS code and MS-DRG assignment for proper billing complex (Medicare, high dollars, long LOS and high CMI) inpatient records.

• Assigns and sequences CD-10-CM/PCS diagnosis and procedure codes, Present on Admission indicators and calculates the correct MS-DRG,

Severity of Illness and Risk of Mortality levels per official coding guidelines,

THR coding compliance policies and procedures, CMS and other third party payers to ensure accurate reimbursement.

• Assesses high risk quality cases to accurately trigger pre-bill coding review process.

• Abstracts and compiles clinical data elements such as attending physician, surgeon, consultants, ED physician, birth weight, etc. according to THR guidelines.

• Validates and initiates correction of patient status, admit and discharge dates and discharge disposition for calculation of correct DRG and length of stay for correct reimbursement.

• Queries the physician and takes initiative to collaborate with Clinical Documentation Specialist and other departments when documentation in the record is ambiguous, inadequate, unclear or incorrect for accurate coding and compliance.

• Demonstrates and maintains adequate productivity and quality metrics as outlined in job description.

• Demonstrates and maintains coding proficiency by staying abreast of coding guidelines as published in Coding Clinic.

• Demonstrates timely completion of all THR training and education as well as maintained credentials by completing assigned continuing education credits per THR Coding Compliance requirements.

SKILLS:

Skills required (if applicable):

• Ability to analyze and validate documentation that supports accurate code assignment for complex inpatient cases utilizing available coding technology appropriately.

• Advance knowledge and utilization of encoder software with usage of computer-assisted-coding software.

• Ability to apply definition of principal diagnosis for accurate coding, MS-DRG and POA assignment.

• Strong knowledge of ICD-10 CM diagnosis and ICD-10-PCS procedure coding guidelines, DRG and POA assignment

• Trained in ICD-10-CM and PCS with demonstrated proficiency

• Expertise in the application of coding convention guidelines in all levels of inpatient coding from complex to simple.

• Strong oral and written communication skills with the ability to initiate clear and concise queries to physicians.

• Advanced skills MS Office Suite; encoder software; moderate skills in computer-assisted-coding software

• Acts as a resource to less experienced coders with the ability to assess coding accuracy and provide feedback.

• Demonstrates strong decision making, problem solving and advanced critical thinking skills by applying coding concepts.

DUTIES:

Critical assessment of the health record documentation to accurately identify pertinent primary and secondary diagnosis and procedures that require ICD-10-CM/PCS code and MS-DRG assignment for proper billing complex (Medicare, high dollars, long LOS and high CMI) inpatient records.

Assigns and sequences ICD-10-CM/PCS diagnosis and procedure codes, Present on Admission indicators and calculate the correct MS-DRG, Must understand and implement process to calculate Severity of Illness and Risk of Mortality levels per official coding guidelines, THR coding compliance policies and procedures, CMS and other third party payers to ensure accurate reimbursement.

Assess high risk quality cases to accurately trigger pre-bill coding review process.3. Assess high risk quality cases to accurately trigger pre-bill coding review process. Assign working DRG's for interim coding and billing

Abstracts and compiles clinical data elements such as attending physician, surgeon, consultants, ED physician, birth weight, etc. according to THR guidelines.

Validates and initiates correction of patient status, admit and discharge dates and discharge disposition for calculation of correct DRG and length of stay for correct reimbursement.

Queries the physician and takes initiative to collaborate with Clinical Documentation Specialist and other departments when documentation in the record is ambiguous, inadequate, unclear or incorrect for accurate coding and compliance.

Demonstrate and maintain adequate productivity and quality metrics as outlined in job description.

Demonstrates and maintains coding proficiency by staying abreast of coding guidelines as published in Coding Clinic.

Entity Information:

Texas Health Resources is one of the largest faith-based, nonprofit health care delivery systems in the United States and the largest in North Texas in terms of patients served.

Texas Health has 25 acute-care and short-stay hospitals that are owned, operated, joint-ventured or affiliated with the system. It has more than 3,800 licensed beds, more than 21,100 employees of fully-owned/operated facilities plus 1,400 employees of consolidated joint ventures, and counts more than 5,500 physicians with active staff privileges at its hospitals.

At Texas Health, we strive to create an atmosphere of respect, integrity, compassion and excellence for all who come in contact with us, be they patients or our employees. We are committed to diversity in our workforce, and our mission to serve spreads across ethnic, cultural, economic and generational boundaries. We invite you to join us in furthering your career through our accomplishments and philosophy of excellence.

Employment opportunities are only reflective of wholly owned Texas Health Resources entities.

We are an Equal Opportunity Employer and do not discriminate against any employees or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.