Remote IP Facility CCS Coder

About the role

Codes more than one of the following: inpatient and/or outpatient hospital records, ED records, Home Health & Hospice records and/or professional fee services for PMG specialty providers for the purpose of reimbursement, research and in compliance with Federal regulation according to diagnosis, operation and procedure using the ICD-9/10 CM and CPT-4 classification system. Ensures adherence to Hospital and Departmental Policies and Procedures Type of Opportunity: Full time Job Exempt: No Job is based: Remote Workers New Mexico Work Shift: Varied Days and Hours (United States of America)

Responsibilities

• *Reviews patients entire current medical record, assigning appropriate codes including CPT, ICD and MS-DRG (as defined by UHDDS guidelines and CMS) to be used for financial reimbursement, research in accordance with Federal Regulations and Hospital and Departmental policies.
• *Abstracts data essential to the QI department in determining patient care issues as well as providing information to The Joint Commission.
• *Accesses several systems via the computer to research the medical record when needed to complete the coding in a timely manner. Takes responsibility for accounts receivable by looking for lost documents to insure all encounters are coded, including the generation of appropriate queries, as needed.
• *Responsible for resolving any and all pre-bill edits, denials, etc for assigned accounts.
• *Maintains and disseminates up-to-date technical knowledge of legal and regulatory information from all appropriate jurisdictions concerning the given business area. This includes but is not limited to all ICD-9/10 CM, CPT-4, HCPCS, DRG, APC and/or HHRG updates and changes.
• *Participates in all departmental in-services and updates to stay current with the accepted coding guidelines and improve personal knowledge of medicine and treatment.
• *Communicates issues to the EW Clinical Coding Manager & Supervisor, as appropriate.
• *Must demonstrate knowledge of coding multiple areas of service and/or specialties.
• *Maintains at least a 95% accuracy rate.
• *Maintains average to high productivity based on PHS Productivity Standards.
• *Maintains continuing education (CE) requirements per PHS policy

Requirements

• High school diploma/GED required.
• Must have any one of the following coding certifications at time of hire: HCS-D, CCS, CCS-P, CPC-H or CPC, or RHIT/RHIA with achievement of one of the coding credentials above within one year of hire.
• One-three years experience as a coder required.
• Must possess computer skills including, but not limited to, Word, Excel, PowerPoint.
• Experience with an encoder preferred.
• Experience with an Electronic Medical Record preferred.
• Must be able to use the internet and other electronic resources for the purpose of research
• UPDATED 8/27/25
• All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits.
• Wellness
• Why work at Presbyterian?
• As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans.
• About Presbyterian Healthcare Services
• Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.
• AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.
• We're Determined to Support New Mexico's Well-Being | Presbyterian Healthcare Services

Benefits

Additional Information

Location Address: Remote Office Santa Fe, NM 87501 Compensation Pay Range: Minimum Offer $21.70 Maximum Offer $33.14 Now Hiring: Remote IP Facility CCS Coder

Your Match

How well this role fits your profile.

Company Intel

What employees say

Worked at phsorg? Share your experience