HiACode

* This is a remote/work from home position * Overview Codes all requested Inpatient medical records using the most accurate and appropriate ICD-10-CM/PCS and DRG assignment in accordance with regulatory coding guidelines, best practices in the industry and HIA policy and procedures. Abstract key data required from the medical information consistent with UHDDS requirements, other regulatory and best practices. The coder will meet specified productivity and accuracy standards. Responsibilities - Codes all requested Inpatient records using the most accurate and appropriate ICD-10-CM/PCS and DRG assignment in accordance with coding guidelines. - Abstracts, codes and assigns necessary demographic and clinical data elements required - Uses 3M and/or TruCode encoder to ensure appropriate reimbursement and accurate DRG & MSDRG assignment. - Writes appropriate, non-leading queries. - Maintains quality and productivity according to client requirements. - Completes all education as required within established deadlines. - Commits to continually improving his/her coding skills by actively participating in all education sessions. - Reports to the Director of Coding Services Qualifications - RHIA, RHIT, or CCS - Minimum 3 years inpatient coding experience in an acute care facility. - I-10-CM/PCS proficient - Computer proficiency, able to research coding questions and utilize HIA’s internal educational resources. - High Speed Internet via Cable (no Satellite or wireless cell based) - Independent, focused individual able to work remotely.

* This is a remote/work from home position * Overview Codes all requested medical records using the most accurate and appropriate ICD-10-CM/PCS and CPT codes in accordance with regulatory coding guidelines, best practices in the industry and HIA policy and procedures. Abstract key data required from the medical information consistent with UHDDS requirements, other regulatory and best practices. The coder will meet specified productivity and accuracy standards. Responsibilities: - Codes all requested outpatient acute care facility records using the most accurate and appropriate ICD-10-CM/PCS and CPT codes in accordance with coding guidelines. - Abstracts, codes and assigns necessary demographic and clinical data elements required - Uses 3M and/or TruCode encoder to ensure appropriate reimbursement. - Writes appropriate, non-leading queries. - Maintains quality and productivity according to client requirements. - Completes all coding education as required within established deadlines. - Commits to continually improving his/her coding skills by actively participating in all education sessions. - Reports to the Director of Coding Services.. Qualifications: - RHIA, RHIT, or CCS - Minimum 3 years outpatient coding experience in an acute care hospital. - CPT coding proficiency - Computer proficiency, able to research coding questions and utilize HIA’s internal educational resources. - High Speed Internet via Cable (no Satellite or wireless cell based) - Independent, focused individual able to work remotely.

Provider Coding Specialist * This is a remote/work from home position * Overview Codes outpatient medical records using the most accurate and appropriate ICD-10-CM and CPT codes in accordance with regulatory coding guidelines, best practices in the industry and HIA policy and procedures. Abstracts required demographic and clinical data elements. The coder will meet specified productivity and accuracy standards. Responsibilities - Codes all requested medical records using the most accurate and appropriate ICD-10-CM/PCS and CPT code assignment in accordance with coding guidelines. - Abstracts, codes and assigns necessary demographic and clinical data elements required. - Maintains quality and productivity according to client requirements. - Completes all coding education as required within established deadlines. - Commits to continually improving his/her coding skills by actively participating in all education sessions. Qualifications - High School Diploma, AAPC credentials, CPC preferred - Minimum 3 years outpatient coding experience in an ambulatory surgery setting. - I-10-CM/PCS, E/M leveling, CPT coding proficient. - Computer proficiency, able to research coding questions and utilize HIA’s internal educational resources. - High Speed Internet via Cable (no Satellite or wireless cell based) - Independent, focused individual able to work remotely.

Overview: Performs compliance audits based on current CMS, CPT, ICD-10 guidelines, as well as all state and federal regulations. Utilizes the CMS 95/97 or 2021 documentation guidelines for evaluation and management (E&M) reviews. Writes and presents concise recommendation worksheets with appropriate findings and references to clients during summation calls. Writes Executive Summaries and must communicate with different levels within the practice/facility. Utilizes review databases (Intelicode, MD Audit, etc). Required Skills and Experience: • High School diploma with at least one AAPC credential; CPC preferred • Minimum 5 years review experience in a multispecialty clinic/facility • ICD-10-CM training • Computer proficiency, able to research coding questions and utilize HIA’s internal educational resources • Experience using Electronic Health Record (EHR) • Independent, focused individual able to work remotely. • Sound organizational, communication and critical thinking skills Responsibilities: - Prepares for Review - Reviews Evaluation and Management codes based on CMS 95/97 or 2021 Documentation Guidelines - Reviews records assigned to ensure appropriate diagnosis reporting based on ICD-10-CM Guidelines (addition, deletion, revision, re-sequence) - Reviews records assigned to ensure appropriate CPT reporting based on CPT coding conventions. - Reviews record for documentation opportunities and compliance issues based on Federal and State guidelines and/or Payor requirements. - List out findings with recommendations from guidelines/regulations (CMS Documentation Guidelines, Coding Clinic, Federal Regulations, CMS Physician Services Guidelines, etc.) to provider client with educational feedback for corrective action. - Research State/Federal and/or Payor guidelines to support recommendations made - Uses various software applications, groupers, encoders and other coding tools to analyze and ensure appropriate codes, sequencing and edits - Runs preliminary and final reports as required - Completes client rebuttals and makes appropriate changes in database as needed - Prepares for Summation Conference using Teams - Conducts Summation Conference with Administration - Conducts Summation Conference with staff and or providers as requested Client Relations: • Maintains adequate communication with client throughout the review process to ensure review goals and objectives are met • Leads organized summation conference in an approachable, educational manner for client staff • Provides ongoing educational support to client staff between scheduled reviews by researching issues and responding promptly to client inquiries Performance and Professionalism • Maintains strict confidentiality and adheres to HIPAA guidelines • Exhibits professional demeanor at all times • Maintains communication by responding promptly to Corporate office staff • Demonstrates flexibility, open mindedness, and versatility in adjusting to changing environments • Handles constructive feedback with a positive attitude • Receptive to suggestions for changing or improving the way work is accomplished • Commits to continually improving his/her job skills (i.e. attends educational meetings

* This is a remote/work from home position * Overview Performs compliance audits of Inpatient and Outpatient medical records in accordance with all coding guidelines. Writes and presents concise recommendation worksheets with appropriate findings and coding references to coders during education exits. Writes Executive Summaries and must communicate with different administrative levels within the hospital. Responsibilities - Reviews records assigned to ensure all codes reported are accurate to ICD-10 CM/PCS and/or CPT coding conventions - Reviews additional chart documentation to validate admission order, admission and discharge dates, point of origin, patient status, present on admission indicator, and coder queries to ensure accuracy - Uses various software applications, groupers, 3M and other coding tools to analyze and ensure appropriate codes, sequencing and edits - Runs preliminary and final statistical and coder specific reports - Completes client rebuttals and makes appropriate changes in database - Prepares for Exit Conference using Teams - Conducts Exit Conference with Administration - Conducts Exit Conference with Coding Staff - Prepares summation of Exit Conference - Meets with HIM Director following Exit Qualifications - High School Diploma with RHIA, RHIT, or CCS credential - Minimum 5 years inpatient and outpatient coding experience in an acute care facility. - I-10-CM/PCS proficient - Computer proficiency, able to research coding questions and utilize HIA’s internal educational resources - Experience using Electronic Health Record (EHR) - High Speed Internet via Cable (no Satellite or wireless cell based) - Independent, focused individual able to work remotely. - Sound organizational, communication and critical thinking skills