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HIM Coder I
University of Kansas Health System

Location: Home-based after 6-12 months in office training depending on experience level., Remote
Work Setting: Hospital
Job Function:
Coder
Job Type:
Full-Time

Introduction

The University of Kansas Health System is a world-class academic medical center and destination for complex care and diagnosis. We are driven by our commitment to service, to continuous improvement and to the highest degree of excellence. Every member of our team shares an unwavering commitment to put patients first. We offer a wide array of career opportunities, along with competitive pay and outstanding benefits. We invite you to join us as we continue to advance the power of academic medicine.

Job Description

Organizational Culture: The University of Kansas Hospital’s mission is “To Lead the Nation in Caring, Healing, Teaching and Learning.” We are committed to hiring individuals who demonstrate both a strong fit with our team-based and patient-focused culture and who have the skills, knowledge, and experience to succeed in their chosen position. Individuals selected for employment are those who will help us advance our mission and who exemplify our values through their personal and professional actions.

 

List and describe essential functions of the job in concise, comprehensive statements. Address what the jobholder does to achieve the job’s main purpose.

 

Note: These statements are intended to describe the essential functions of the job and are not intended to be an exhaustive list of all responsibilities, skills and duties and may vary dependent upon your department or unit. Other duties may be assigned as required.

 

JOB SUMMARY

The HIM CODER I is an entry level coding position requiring ongoing training and monitoring as they develop coding skills to achieve quality and productivity expectations. Responsibilities include diagnosis and procedural coding utilizing ICD-10-CM/PCS and/or CPT for accurate DRG/APC assignment. They will have daily interactions with internal and external customers to include physicians, hospital support services and ancillary departments.  

 

 

 

 

RESPONSIBILITIES

 

1)     Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department.

2)     Demonstrates competence in the areas of critical thinking, interpersonal relationships, and technical skills.

3)     Primarily codes Ambulatory Surgical Procedure and / or Simple Inpatient encounters at 15 per/ 8 hours for Inpatient charts, 40per/8 hours for Outpatient charts or 150/75 per/8 hours for PB/HB.

4)     Works Collaboratively with the clinical documentation program to achieve accurate DRG assignment and appropriate mortality and severity scores.

5)     Maintain a thorough understanding of anatomy and physiology, medical terminology, disease processes and surgical techniques through participation in continuing education programs to effectively apply ICD-10-CM/PCS and CPT-4 coding guidelines to inpatient and outpatient diagnoses and procedures.

6)     Correlate information from approved supporting clinical documentation not limited to Pathology, Radiology and/or other Physician Consultations after review by the Attending Physician, wherever appropriate.

7)     Abstracts all clinical data with a high degree of accuracy to utilized in research and benchmarking by the hospital, UKP, and the University as well as numerous third parties such as UHC, KDHE, HIDI and CMS

8)     Communicate with nursing and ancillary services personnel for needed documentation for accurate coding.

9)     Provide real-time feedback to surgical/procedural providers as it pertains to proper coding and clinical documentation of services performed

10)   Maintains/processes claim edits to assure timely billing

11)   Works collaboratively to achieve minimum bill days at 4 days from discharge or below for inpatient accounts, 5 days and below for outpatient accounts.

12)   Coders maintain prioritized workflow through cooperative work distribution (i.e. prioritization of charts by discharge date and total charges)

13)   Perform other related duties incidental to the work described herein.

14)   Coding accuracy of 95%; Productivity met per day: Inpatient: 15 charts/day avg.; Outpatient/Surgery: 40 charts/day avg.; PB/HB: 150/75

 

 

 

BEHAVIORAL COMPETENCIES

Key competencies required to perform essential functions of the job – Foundational level

 

ACCOUNTABILITY –

Ownership, Initiative, Trust and Respect, Continuous Learning/ Improvement

– Takes personal responsibility for completing assigned activities and seeks new opportunities to provide high-quality work/service; looks for ways to improve individual performance

– Is clear about daily tasks and shows a flexible, proactive approach to accomplishing responsibilities in the face of changing situations (e.g. patient emergencies)

– Shows respect in every interaction and builds trust; demonstrates adherence to code of conduct

– Shows willingness to learn new technologies, tools or systems, and is eager to gain new skills

CUSTOMER FOCUS –

Customer Expectations and Needs, Service Improvement, Cross-functional Collaboration

– Understands personal and practical needs of all customers and takes appropriate action to meet expectations for quality care and/or service
– Has self-awareness of own behaviors; makes changes in behavior to improve the service experience; is aware of how personal actions affect the customer experience; adjusts personal behaviors as needed to meet or exceed customer expectations
– Demonstrates the ability to work effectively within and across work units to deliver the best customer experience
PLANNING AND DECISION MAKING –

Planning and Organization, Problem Solving, Time Management, Effective Use of Resources

– Plans daily routine to properly organize tasks and demonstrates the flexibility to meet immediate customer needs effectively and efficiently
– Proactively asks open-ended questions to clarify and resolve underlying issues; escalates issues promptly and responsibly as necessary
– Allocates time appropriately to effectively handle multiple priorities and varying workload
– Demonstrates stewardship through the identification and appropriate use of available resources (time, equipment and supplies)
COMMUNICATION –

Interpersonal Skills, Effective Communication, Managing Crucial Conversations

– Listens well, shows a positive attitude and modifies tone and delivery to effectively meet the needs of the customer
– Demonstrates self-awareness and gathers thoughts before speaking to deliver clear messages that are easily understood by others
– Understands needs of others and willingly takes the H.E.A.T. by remaining calm and positive under high stress situations
RELATIONSHIP MANAGEMENT AND TEAMWORK –

Building Productive Relationships, Knowledge Sharing, Collaboration

– Is approachable, builds rapport, and uses formal and informal networks to facilitate achievement of departmental and organizational goals
– Willingly shares information, materials and know-how to contribute to and achieve common objectives
– Works as a team player in a diverse workforce and looks for ways to improve interactions with all co-workers, contributing to a welcoming and helpful environment

 

 

POPULATION SERVED

 

Population Served Age of Patient Population Served
Patient with exceptional communication needs

Patient with diverse culture/language (e.g. in Spanish and Sign)

Patient with diverse religious backgrounds

Patient with psycho-social needs

Patient with physical disabilities

All Populations

Does not have patient contact

Neonate (birth – 28 days)

Infant (29 days – less than 1 year)

Pediatric (1 – 12 yrs)

Adolescent (13 – 17 yrs)

Adult (18 – 64 yrs)

Geriatric (65 yrs & older)

Non-age Specific Task (N/A)

 

JOB REQUIREMENTS

Indicate the minimum requirements to perform the essential functions of the job – minimum education and/or experience, any significant physical demands aspects of work environment conditions.

 

 

  1. Education and/or Relevant Experience/Qualifications

 

  Required Preferred
Credential required:    
Education

 

Proficient in Excel, Word, PowerPoint

High school diploma or GED

Associate’s in Health Information Management, or Coding Certificate in Health Information Management (AHIMA)

 

Bachelor’s Degree in related field
Certificate, license or registration

 

Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS)

 

 
Experience Requires minimum O-2 years coding experience or equivalent education in inpatient and outpatient ICD-10 and CPT Coding.

 

Utilizing ICD-10 Coding Guidelines.

Epic experience
Primary source of verification    
Literacy requirements (read, write and speak English) Demonstrate strong oral and written communication skills  
Language requirements English Spanish
Others (Driving, computer skills, etc.)

Testing Requirements and Scores

Basic ICD-10-CM/PCS & CPT-4 coding knowledge, applicable modifiers in a hospital setting, understand and apply appropriate CMS guidelines to coding

 

Anatomy and Physiology

Medical Terminology

Basic DRG/APC

Reimbursement knowledge

Coding software familiarity

 

 
  1. ADA Physical Demands

 

 

How much on the job time is spent on the following physical activities?   Does this job require that force be exerted or weight be lifted?
Physical Activities Amount of Time   Pounds of Force to Push or Pull Amount of Time
None Under 1/3 To 2/3 Over 2/3   None Under 1/3 To 2/3 Over 2/3
Stand   Up to 10 pounds
Walk   Up to 25 pounds
Sit   Up to 50 pounds
Use hands or fingers to manipulate, keyboard, handle or feel   Up to 100 pounds
Reach with hands and arms below the waist   Lifting None Under 1/3 To 2/3 Over 2/3
Reach with hands and arms

to the shoulder

  Up to 10 pounds
Reach with hands and arms above shoulders   Up to 25 pounds
Bend to waist level   Up to 50 pounds
Bend to the floor   Up to 100 pounds
Climb or balance   Carrying None Under 1/3 To 2/3 Over 2/3
Stoop, kneel, crouch, crawl or squat   Up to 10 pounds
Driving/Operating machinery   Up to 25 pounds
    Up to 50 pounds
    Up to 100 pounds

 

Does this job have any special vision requirements? Check all that apply.

Please note that pre-employment vision testing is required

Close vision (clear vision at 20 inches or less)
Distance vision (clear vision at 20 feet or more)
Color vision (ability to identify and distinguish colors)
Peripheral vision (ability to observe and area that can be seen up and down or to the left and right while eyes are fixed on a given point)
Depth perception (three-dimensional vision, ability to judge distances and spatial relationships)
Ability to adjust focus (ability to adjust the eye to bring an object into sharp focus)
No special vision requirements

 

Does this job have any special hearing requirements? Please specify.

Specify hearing requirements:___________________________________________
No special hearing requirements

 

 

  1. Work Environment

How much on the job time is spent in the following conditions?        Does this job have exposure to the following conditions?

Environmental Conditions Amount of Time   Environmental Conditions  
None Under 1/3 To 2/3 Over 2/3   Yes No
Wet or humid conditions (non-weather)   Exposure to blood and body fluids
Extreme cold (non-weather)   Exposure to airborne pathogens (biological, bacterial, viruses)
Extreme heat (non-weather)   Exposure to airborne particles
Risk of radiation   Exposure to fumes
Toxic or caustic chemicals, hazardous materials and waste   Exposure to lasers
Outdoor weather conditions   Work in high places (greater than 4 feet off of the ground)
Computer workstation or office setting   Working near moving mechanical parts
Vibration   Exposure to noise greater than 80 dB (loud – very loud)
Other ______________________   Other __________________________

 

 

 

Specify job responsibilities that require any other additional physical demands or work environment.

     

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DOCUMENTATION

 

Content Approval   Employee Acknowledgement
Prepared by Name:   Date   Employee Name:   Date
  Title:         Signature:    
Department approval Name:   Date   Supervisor Name:   Date
Title:         Signature:    
HR approval Name:   Date          
  Title:              

Required Qualifications

Education-

Proficient in Excel, Word, PowerPoint

High school diploma or GED

Associate’s in Health Information Management, or Coding Certificate in Health Information Management (AHIMA)

Certification-

Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS)

 

Preferred Qualifications

Education-

Bachelor’s Degree in related field

 

Experience-

Proficient in ICD 10 coding. Epic EMR experience.

 

Education Qualifications

Education-

Proficient in Excel, Word, PowerPoint

High school diploma or GED

Associate’s in Health Information Management, or Coding Certificate in Health Information Management (AHIMA)

Certification-

Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS)

Instructions for Resume Submission

Visit University of Kansas Health System Careers for application instructions.

Apply Online: https://www.kansashealthsystem.com/careers/search-jobs

Posted: December 7, 2018 at 11:47 AM
Post ID: 33513

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