Lead Inpatient / Outpatient Professional Coder

Medical Records Department. $2,000 Hiring Bonus. Full-time (40 hours per week). Oversee the RHC and Hospital coding services. The Lead Coder would be responsible for the Insurance Denials coding and Claim Edit work queues. This position would monitor coding staff and ensure appropriate training is provided; and maintain appropriate staffing for uncoded accounts. Monitor old accounts / claims with missing information; investigates reasons for account hold up. Involved in the research of questions and the education of team members on changes. Is responsible for the review, interpretation, coding and abstracting of medical record information according to standard and current classification systems; identifies and applies appropriate diagnoses, procedural, HCPCS and modifier codes to obtain accurate assignment for proper reimbursement and data collection in the inpatient and/or outpatient setting. Assist HIM Supervisor with quality audits as needed. Stay informed on up-to-date coding guidelines and reimbursement reporting. Identify concerns and work with the HIM Supervisor on process changes. Oversee and coordinate coding and record processing for timely, efficient and effective completion of work. Conduct State reporting functions for the facility; edit data submitted to Iowa Hospital Association, correct data and review final reports. Coding certification is required through AHIMA or AAPC as a RHIA, RHIT, CCS, CCS-P, CPC, CCA and CPC-H. Knowledge of coding software, medical terminology, abbreviations, anatomy and physiology, major disease processes and pharmacology; classification systems, ICD-10-CM nomenclature, CPT and ICD-10-PCS and HCPCS nomenclature, coding rules guidelines and proper sequencing. Knowledge of coding conventions and rules established by the AMA, AHA, and CMS for assignment of diagnosis and surgical procedure codes. Prefer a minimum of three years of experience in coding inpatient and/or outpatient records with the use of ICD-10-CM, CPT and HCPCS classification system. Rural Health Clinic coding experience a plus.