Clinical Coder III

Title: Clinical Coder III

 

locations

Little Rock

time type

Full time

posted on

Posted Yesterday

job requisition id

R0020464

ARKANSAS CHILDREN'S IS A TOBACCO FREE WORKPLACE. FLU VACCINES ARE REQUIRED. ARKANSAS CHILDREN'S IS AN EQUAL OPPORTUNITY EMPLOYER. ALL QUALIFIED APPLICANTS WILL RECEIVE CONSIDERATION FOR EMPLOYMENT WITHOUT REGARD TO RACE, COLOR, RELIGION, SEX, SEXUAL ORIENTATION, GENDER IDENTITY OR EXPRESSION, NATIONAL ORIGIN, AGE, DISABILITY, PROTECTED VETERAN STATUS OR ANY OTHER CHARACTERISTIC PROTECTED BY FEDERAL, STATE, OR LOCAL LAWS.

This position has been designated as safety sensitive and cannot be filled by a candidate who is a current user of medical marijuana.

CURRENT EMPLOYEES: Please apply via the internal career site by logging into your Workday Account (https://www.myworkday.com/archildrens/)and search the "Find Jobs" report.

Work Shift:

Day Shift

Time Type:

Full time

Department:

CC807200 PSO Professional Coding

Summary:

Monday - Friday, Remote (Training will be hybrid)
The Clinical Coder is responsible for reviewing patient medical records and accurately assigning standardized codes using ICD and CPT/HCPCS classification systems. The primary goal is to ensure timely and accurate coding for billing, reimbursement, research, and statistical reporting purposes, while maintaining compliance with established coding guidelines and regulations.

Additional Information:

Monday - Friday, Remote (Training will be hybrid)    

**1 certification from AACP or AHIMA is REQUIRED at the time of hire**

Required Education:

Recommended Education:

No education requirements

Required Work Experience:

3 years of relevant experience; HS Diploma or GED may substitute for 2 years of work experience

Recommended Work Experience:

Required Certifications:

1 certification from AACP or AHIMA - American Academy of Professional Coders (AACP) or American Health Information Management Association (AHIMA)

Recommended Certifications:

Description

1. Review patient medical records (e.g., physician notes, lab results, radiology reports, operative reports) to identify diagnoses and procedures.

2. Assign accurate ICD (International Classification of Diseases), CPT (Current Procedural Terminology), and HCPCS (Healthcare Common Procedure Coding System) codes.

3. Ensure coding accuracy and consistency across medical records.

4. Adhere to established coding guidelines, coding conventions, official coding rules, and regulatory requirements (e.g., CMS, HIPAA).

5. Maintain confidentiality of patient information in accordance with HIPAA regulations.

6. Stay current with coding updates, changes in regulations, and industry best practices.

7. Abstract data and information from medical records for various reporting requirements.

8. Communicate effectively with physicians, nurses, and other healthcare professionals to clarify documentation and resolve coding discrepancies.

9. Research and resolve accounts that have failed in the billing/collection process due to issues surrounding diagnostic and procedure coding.

10. Codes highly complex patient encounters, including specialized areas of medicine (e.g., oncology, cardiology, surgery).

11. Possesses in-depth knowledge of coding guidelines, regulations, and compliance requirements.

12. Works independently and serves as a resource for other coders.

13. May participate in coding audits and quality assurance reviews.

14. Identifies opportunities to improve coding accuracy and efficiency.