Overview Individual responsible for coding all hospital IP records for purposes of reimbursement, research, and compliance with federal regulations. Applies correct ICD-10CM diagnosis and /ICD-10PCS procedure codes and a…
Skills: ICD-10-CM, ICD-10-PCS, DRG Assignment, Medical Coding, Data Abstraction
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Full-time
associate degree, bachelor degree, professional certificate
Posted 43d ago
Apply by Jun 25
~40 hrs/week
Responsibilities
Responsible for coding hospital inpatient records using ICD-10-CM and ICD-10-PCS to ensure accurate reimbursement and compliance. The role involves abstracting statistical data and issuing queries to clarify diagnoses in medical records.
Requirements
Requires an associate or bachelor's degree in Health Information Technology or graduation from an accredited coding program. A minimum of 3 years of acute care experience is required, with RHIA, RHIT, or CCS certifications preferred.
Full job description
Overview
Individual responsible for coding all hospital IP records for purposes of reimbursement, research, and compliance with federal regulations. Applies correct ICD-10CM diagnosis and /ICD-10PCS procedure codes and assigns appropriate DRG. Coder must abstract statistical data from records into hospital abstracting system in accordance with hospital policies and procedures. Individual must have knowledge of DRG’s and federal and state coding guidelines.
Responsibilities
Reviews patient’s entire current medical record and assigns appropriate ICD-10-CM diagnosis and ICD-10- PCS procedure codes according to accepted coding guidelines and hospital’s policies and procedures.
Assigns accurate DRG to patient’s record utilizing hospital encoding system.
Accurately abstracts statistical data from records using hospital abstracting system in accordance with hospital policies and procedures.
Attends hospital sponsored educational programs and department coding meetings.
Issues queries or send charts for query to clarify diagnoses in the patient’s medical record in compliance with hospital policies and guidelines.
Participates in and practices lean management principles and processes.
DCH Standards:
Maintains performance, patient and employee satisfaction and financial standards as outlined in the performance evaluation.
Performs compliance requirements as outlined in the Employee Handbook
Must adhere to the DCH Behavioral Standards including creating positive relationships with patients/families, coworkers, colleagues and with self.
Performs essential job functions in a manner that ensures the safety of patients, visitors and employees.
Identifies and reduces unsafe practices that may result in harm to patients, visitors and employees.
Recognizes and takes appropriate action to reduce risks and hazards to promote safety for patients, visitors and employees.
Requires use of electronic mail, time and attendance software, learning management software and intranet.
Must adhere to all DCH Health System policies and procedures.
All other duties as assigned.
Qualifications
Associates or bachelor’s degree in Health Information Technology from an AHIMA/CAHIIM accredited school or graduate of an AHIMA accredited medical coding program.
A minimum of 3 years of experience in an acute care setting.
Must pass DCH’s coding proficiency assessment for inpatient coders.
Some encoder experience preferred.
RHIA, RHIT, CCS preferred.
Experience working remotely preferred.
WORKING CONDITIONS
WORK CONTEXT
Requires the ability to work 8 hours quietly at a computer screen and keyboard/mouse.
Must be able to meet deadlines as assigned.
Requires the ability to withstand pressures of constant deadlines, audits, educational demands and changing healthcare environment.
Must have ability to accept criticism and to deal calmly and effectively in high stress situations.
Must be able to communicate both verbally and in writing on a daily basis.
Must be able to participate in groups.
Must be able to adapt to changes in work area as assigned.
Displays a willingness to take on responsibilities and challenges.
Ability to maintain confidentiality.
PHYSICAL FACTORS
Hearing and vision must be normal or corrected to within normal range.
Able to perform the duties with or without reasonable accommodation.
This job is considered light work. Must be able to exert up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects.
This job involves standing, walking, sitting, stooping, pushing, pulling, and crouching.
Ability to lift up to 20 pounds occasionally and 10 pounds frequently.
Must have good dexterity
Should be able to reach and extend arms in any direction.
Related keywords
ICD-10-CMICD-10-PCSDRGMedical CodingAcute CareRHIARHITCCSAHIMACAHIIMHealth Information TechnologyData AbstractionHospital ReimbursementComplianceLean ManagementMedical Records
Based in Tuscaloosa, AL, DCH Health System has been providing quality and compassionate healthcare to the residents of West Alabama. Comprised of DCH Regional Medical Center, Northport Medical Center and Fayette Medical Center, the DCH Health System provides comprehensive services in:
- Cancer treatment
- Critical Care
- Cardiac Services
- Bloodless medicine
- Home health care
- Sleep medicine
- Occupational medicine
- Sports medicine
- Spine/pain care
- Therapy services
- Women’s services
- and much more
DCH Regional Medical Center has 583 beds and offers a variety of specialty units and advanced services, including cancer, cardiology, robotic and minimally invasive surgery, and the region's most advanced trauma center.
Northport Medical Center is a 204-bed community hospital that offers a full range of inpatient and outpatient services. The facility also operates the DCH (inpatient) Rehabilitation Pavilion and North Harbor Pavilion for mental health.
Fayette Medical Center, through a lease agreement with the DCH Health System, is a 61-bed rural hospital that offers the residents of Fayette County inpatient care, along with sophisticated diagnostic equipment, surgical techniques and specialty clinics. A 122-bed nursing home on site is fully accredited and licensed for intermediate and skilled nursing care.
Our goal is to provide the best health system possible for patients to receive proper care, employees to work efficiently, and physicians to practice medicine for the benefit of everyone.
Offices: 809 University Blvd. E., Tuscaloosa, AL 35401, US · 2700 Hospital Dr., Northport, AL 35476, US · 1653 Temple Ave., Fayette, AL 35555, US
Inpatient health servicesoutpatient health servicespain clinicinpatient rehabilitationhome health/DMEsleep medicineoccupational medicineimaging (MRICT and PET)cancer center
Based on 401 listings with disclosed salaries, most healthcare jobs in Alabama pay between $60k–$150k per year. Individual offers vary with seniority, company size, and specialization.
How many Healthcare jobs are open in Alabama right now?
There are currently 6,743 open healthcare positions in Alabama listed on Clera. New openings are added daily as companies post roles.
Which companies are hiring for Healthcare roles in Alabama?
Companies currently hiring include Huntsville Hospital, Community Health Systems, Brookwood Baptist Health, CVS Health, UAB Medicine, among others. Browse the listings above to see every active employer.
Are there remote or hybrid Healthcare jobs in Alabama?
Yes — 266 of the 6743 open healthcare positions offer remote or hybrid work (147 remote, 119 hybrid).
How do I apply for Healthcare jobs in Alabama?
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.