1. Attention to Detail: Verifies patient information to identify any documentation vs. report discrepancies and ensures codes and other abstracted data are accurately applied to appropriate patient?s account/encounter.
2. Coding and Abstracting: Primarily codes outpatient encounters. Applies codes to conditions and procedures documented in the medical records to provide information for financial reimbursement and data collection, converts interpreted data into appropriate code numbers.
3. Quality Control: Recognizes and reports unusual circumstances and/or information with possible risk factors to appropriate risk management and HIM Manager. 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.
6. Communication: Excellent written and oral communication skills and the ability to work independently with minimal supervision required. Legible penmanship required.
7. 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.
8. 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.
9. HIM Department Supporter: Contributes to the efficiency of the HIM department. Routinely volunteers to assist others when their work is completed.
10. 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.
11. 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.
12. Other Duties: Perform other duties as assigned.

• N/A

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) by American Health Information Management Association (AHIMA)
• Certified Coding Specialist - Physician-based (CCS-P) by American Health Information Management Association (AHIMA)
• Certified Professional Coder (CPC) by American Academy of Professional Coders (AAPC)

• 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.

Benefits at Vail Health (Full Time) Include:

• Competitive Wages & Family Benefits:
  • Competitive wages
  • Parental leave (4 weeks paid)
  • Housing programs
  • Childcare reimbursement 
• Comprehensive Health Benefits: 
  • Medical
  • Dental 
  • Vision
• Educational Programs: 
  • Tuition Assistance 
  • Existing Student Loan Repayment
  • Specialty Certification Reimbursement
  • Annual Supplemental Educational Funds
• Paid Time Off:
  • Up to five weeks in your first year of employment and continues to grow each year.
• Retirement & Supplemental Insurance:
  • 403(b) Retirement plan with immediate matching 
  • Life insurance
  • Short and long-term disability
• Recreation Benefits, Wellness & More:
  • Up to $1,000 annual wellbeing reimbursement
  • Recreation discounts
  • Pet insurance