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Health Information Management Coder
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HENDERSON HEALTH CARE SERVICES, INC.
Henderson, NE (In Person)
Full-Time
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Job Description
Health Information Management Coder 3.5 3.5 out of 5 stars 1621 Front Street, Henderson, NE 68371 Full-time
HENDERSON HEALTH CARE SERVICES, INC. 2
reviews Full-time About HHCS Henderson Health Care Services is a full-service hospital, long term care and two medical clinics in Henderson & Sutton, NE. We are professional, fast-paced, collaborative and our goal is to provide the greatest healthcare option to Henderson, Sutton and surrounding area patients while maintaining a family-based culture.Our work environment includes:
Modern office setting (currently under construction with major growth happening) Growth opportunities within HHCS Long term employees Position Health Information Management Coder - FT Henderson Health Care Services, Inc., a progressive, health care facility located in Henderson, NE, is seeking an on-site, full time Health Information Management (HIM) Coder. Responsible for reviewing, interpreting, and accurately coding medical record documentation for clinic and hospital services using standard classification systems (ICD-10-CM, CPT, HCPCS). This role ensures completeness, accuracy, and compliance in coding and abstracting patient information to support timely and accurate billing, reimbursement, and reporting. The coder also plays a key role in quality assurance, claims submission, and supporting provider documentation.ESSENTIAL DUTIES AND RESPONSIBILITIES
- Review and analyze complete medical records for all clinical and hospital encounters to accurately assign diagnosis and procedure codes using ICD-10- CM, CPT, and HCPCS.
- Input codes daily into the billing system to ensure diagnoses are present before claims are generated.
- Utilize encoder software to support coding accuracy and streamline claims submission; optimize functionality to reduce errors and enhance compliance.
- Serve as a resource for clinical documentation review, identifying gaps or inconsistencies and communicating with providers for clarification.
- Ensure medical record documentation supports assigned codes and aligns with applicable payer regulations and guidelines.
- Completes charge entry tasks as needed to facilitate proper reimbursement and documentation compliance.
- Collaborate with billing staff to review and resubmit denied, rejected, or aged claims, ensuring timely resolution and payment.
- Review provider remittances, audit requests, and medical record inquiries, responding in a timely and accurate manner.
- Conduct ongoing surveillance of medical records for accuracy, completeness, and adherence to regulatory and internal documentation standards.
- Verify census reports and confirm correct admission levels and treatment types.
- Prepare and submit reports for state, federal, or regulatory purposes as requested by the Administrator, CFO, or HIM Director.
- Stay up to date with current coding regulations, Medicare/Medicaid requirements, and best practices in HIM and revenue cycle management.
- Assist with training of new staff and support departmental quality improvement activities.
- Work closely with physicians and healthcare professionals to clarify documentation or coding questions.
- Provide support to the Medical Staff, Governing Board, committees, CFO, HIM Director, department supervisors, and Business Office staff as needed.
- Communicate professionally and maintain positive working relationships across departments.