Please ensure Javascript is enabled for purposes of website accessibility

HIM Coding Specialist II

To us, it's about living life to the fullest while serving our patients, teammates, neighbors and friends. We are dedicated and passionate in everything we do, seeking challenge and appreciating the routes that got us here. Whether our path is clinical or not, we all came to find balance and meaning in our lives within the work we are passionate about and the adventures we live.

Vail Health has become the world’s most advanced mountain healthcare system. Our updated 520,000-square-foot hospital opened in December 2020.  This state-of-the-art facility provides exceptional care to all of our patients, with the most beautiful views in the area, located centrally in Vail. 

Some roles may be based outside of our Colorado office (as stated in the Job Title). Roles based outside of our primary office can sit in any of the following states: AZ, CO, CT, DC, FL, GA, ID, IL, KS, MA, MD, MI, MN, NC, NJ, OH, OR, PA, SC, TN, TX, UT, VA, WA, and WI. Please only apply if you are able to live and work full-time in one of the states listed above. State locations and specifics are subject to change as our hiring requirements shift.

Pay is based upon education and experience.


POSITION PURPOSE: 
Reads patient records. In accordance with Governmental, third party payer, and facility rules and regulations, accurately assigns and sequences ICD-10-CM diagnosis, CPT, and E&M and procedural codes to outpatient records for use in reimbursement and data collection.


ESSENTIAL JOB FUNCTIONS: 

1. Attention to Detail: Verifies patient information to identify any documentation vs. report discrepancies and to ensure codes and other abstracted data are accurately applied to appropriate patient’s account/encounter. 
2. Coding and Abstracting: Primarily codes outpatient and/or professional encounters. Applies codes to conditions and procedures documented in and abstracts data from medical records to provide information for financial reimbursement and data collection, converts interpreted data into appropriate code numbers. Assesses documentation and/or queries physician for additional information when indicated to clarify or provide specificity to a diagnosis, symptom, or reason for an outpatient service. Proficient in accessing and understanding local and national coverage determinations (LCDs/NCDs). 
3. Quality Control: Recognizes and reports unusual circumstances and/or information with possible risk factors to appropriate risk management and HIM Manager and reports problems, errors, and discrepancies in dictation and patient records to HIM Manager. While reviewing the record for coding purposes, serves as quality reviewer of scanned documents. Identifies mis-scans and poorly scanned documents and reports them to HIM Director. 
4. Quality/Quantity: Meets coding quality and quantity expectations of 95% or higher.
5. Collaboration: Collaborates with others in the organization including the Quality Department, Medical Staff, other clinicians, and physician office staffs; and with Patient Financial Services to ensure the codes submitted for claims are supported by the documentation in the record. When querying clinical staff, uses appropriate querying techniques to avoid leading the clinician and follows up to ensure queried accounts are dropped within 10 days of the query. As needed, involves the HIM Manager or Lead Coder. 
6. Constant Learner: Attends all required in-services and coder meetings. Identifies and attends training and educational programs conducive to professional growth. Utilizes current literature and workshops attended to the benefit of Vail Health. New ideas, policies, regulations, and philosophies are adapted to current policies and procedures appropriately. 
7. Vail Health Supporter: Supports the philosophy, objectives, and goals of VH and the HIM department by volunteering in various capacities without compromising performance expectations. Role models the principles of a Just Culture and VH Values.
8. HIM Department Supporter: Contributes to the efficiency of the HIM department. Routinely volunteers to assist others when his/her work is completed. 
9. Ethics: Routinely abides by standards of professional and ethical conduct as defined by CMS, AHIMA, and the professional organization from which the incumbent is certified and/or credentialed. 
10. Compliance: Understands and complies with policies and procedures related to medicolegal matters including confidentiality, amendment of medical records, release of information, patient rights, medical records as legal evidence, informed consent, etc. Is knowledgeable of and complies with Vail Health HIPAA, Safety and Compliance Program Policies and Procedures. 
11. Other Duties: Perform other duties as assigned.
 This description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills and efforts or work conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job.


MINIMUM QUALIFICATIONS: 

Experience:

  • 3 or more years of hospital outpatient coding experience
  • Routinely achieves or exceeds quality expectations of 95% accuracy for coding.
  • Must achieve quality and productivity expectations within 90 days of employment. 
  • Competently codes three or more record types: Observation, Outpatient Surgery, Ancillary, Clinic, ED, Oncology, and /or Therapy  

Meets productivity requirements: All productivity requirements include accessing records on-line, keeping current with office email, preparing queries and/or following up with physicians for clarification of documentation and/or additional conditions to possibly support medical necessity.

Certification(s):


One of the following is required:

  • Registered Health Information Technician (RHIT)  by the American Health Information Management Association (AHIMA)
  • Registered Health Information Administrator (RHIA) ) by the American Health Information Management Association (AHIMA)
  • Certified Coding Specialist (CCS) (CCS-P) by American Health Information Management Association (AHIMA)

Computer / Typing:

  • Must have working knowledge of the English language, including reading, writing, and speaking English.
  • Use of a computer, keyboard, and mouse and experience with basic Microsoft Office applications, required.
  • Must possess the computer skills necessary to complete work assignments, online learning requirements for job specific competencies, access online forms and policies, complete online benefits enrollment, etc.
  • Use of number pad on keyboard preferred.
  • Ability to search resources and/or Internet to locate CMS and third party payer websites for coding requirements and medical necessity guidelines is required.  
  • Competent in accessing and using an encoder (3M or Trucode), required.

Communication:

Excellent written and oral communication skills and the ability to work independently with minimal supervision, required. Legible penmanship required.

 

Benefits at Vail Health 

  • Competitive Wages & Family Benefits: Competitive wages, parental leave, housing programs and childcare reimbursement to support the cost of living in a mountain community.
  • Comprehensive Health Benefits: Top-quality health care package including vision, dental and medical with options of flexible spending and health savings accounts.
  • Education Assistance: We are proud to offer tuition and student loan assistance programs.
  • Paid Time Off: Roughly five weeks in your first year of employment and continues to grow each year.
  • Retirement & Supplemental Insurance: 403(b) Retirement plan with matching potential, life insurance, short and long-term disability, and more.
  • Recreation Benefits, Wellness & More: Recreation discounts, pet insurance and a $1,000 annual wellness reimbursement program.

 

As a condition of employment, Vail Health requires COVID-19 vaccination of all clinical and non-clinical staff.

Apply Now