Building Name: CVMC - Home Farm Way
Location Address: 3 Home Farm Way, Montpelier Vermont
Department: CVMC - Medical Records
Standard Hours: 40
Primary Shift: TBD
Weekend Needs: None
Recruiter: Katie Anderson
The Medical Records Coder 2 will apply knowledge of ICD-10 and CPT-4 nomenclatures and American Hospital Association, American Medical Association and applicable Federal and third party payer guidelines to accurately and compliantly determine principal and secondary ICD-10 diagnoses codes, principal and secondary ICD-10 procedure codes for all visits. In addition, may assign corresponding CPT-4 codes for procedure and surgery cases, inpatient evaluation & management, and emergency room evaluation & management and procedural services for facility and professional billing and data collection.
Employee will apply knowledge of anatomy and physiology, medical terminology, and pathology of disease processes while analyzing clinical documentation of inpatient and/or outpatient records. Follows CVMC compliance and HIM coding compliance policies and meets productivity standards to maintain financial goals. Utilizes various electronic information systems to accomplish coding including 3M Coding and Reimbursement Systems, Meditech, eClinical Works (ECW), PICIS, Aria, and various web based tools such as Anthem and CMS for Medical Necessity and other regulatory information as deemed appropriate.
Must have knowledge of charge master and charge maintenance. Effectively communicates with and acts as a resource to health care providers, department managers, and staff to resolve documentation, charge or other issues as they arise to ensure accuracy of coding and reimbursement. Medicals Record Coder 2 will adhere to the HIM Mission and Vision. Employee continually seeks to improve coding knowledge through various mediums including seminars, articles, networking, web access and other as available.
Must have successfully completed a course in Medical Terminology and Anatomy and Physiology, or be willing to obtain within one year of date of hire. Candidate should have knowledge of current American Medical Association and American Health Association Coding Guidelines, State and Federal Regulations, Professional Services and Compliance. Must have the aptitude to review and interpret documentation for the purpose of accurate coding and charging practices.
High school diploma or equivalent degree, coding certification through the American Health Information Management Association or the American Academy of Professional Coders. Employee is expected to maintain coding certification to remain at the Medical Records Coder 2 position. Should coding certification lapse, the employee will move to the Medical Records Coder 1 position and will be expected to attain certification again within the year.
Minimum of 2 years coding experience utilizing ICD-10 and CPT-4 coding.
Central Vermont Medical Center