Job Details

Overview

ChristianaCare is a top health system with hospitals in Wilmington and Newark, DE, and Elkton, MD. We are guided by our values of Love and Excellence and are committed to delivering health, not just health care. We are one of the Top 100 Hospitals in the nation and named by U.S. News & World Report as one of America's Best Hospitals. Christiana Hospital, Wilmington Hospital, our Ambulatory Services, and HomeHealth have all received ANCC Magnet Recognition.

Scheduling Flexibility and Perks

• The schedule and hours for this position are flexible to support work/life balance.
• This position is 100% remote and we encourage national candidates to apply.
• We provide equipment, coding books, continuing education credits, and professional organization memberships to AHIMA or APC.

Primary Function

ChristianaCare is currently seeking a full-time Senior Coder to be responsible for accurate and timely assignment of ICD-10-CM/PCS and HCPCS/CPT codes, payment group classification, data abstraction for reimbursement purposes and statistical reporting on all Inpatient, Outpatient, Emergency Medicine, Ancillary and Diagnostics records, and/or any other patient records for which HIMS Department performs coding services. Meets or exceeds productivity and accuracy standards outlined in the HIMS Coding Policies and Procedures.

Principal Duties and Responsibilities

• Review and interpret Inpatient, Outpatient, Ancillary, Diagnostics and Emergency Medicine or other patient type records to assign appropriate ICD-10-CM/PCS diagnosis and procedure codes and/or HCPCS/CPT procedure codes as required based on record type and CCHS reporting practices.
• Perform coding and abstracting tasks to support accurate and timely billing, data quality and statistics, and calculation of severity of illness and risk of mortality reporting.
• Follow UHDDS definitions, CMS regulations, and Official and Internal Coding Guidelines.
• Utilize information on diagnostic reports (e.g., radiology, pathology, EKG, laboratory values, doctors' orders, medication forms) to code patient charts in accordance with Official Coding Guidelines.
• Complete daily work assignment as directed by Coding Support.
• Work within service line structure where applicable based on patient type.
• Mentor newer coders in the Coder Position or coders in training for a new coding discipline.
• Abstract data, determine and sequence codes for diagnoses and procedures, and enter all information into the coding and abstracting system.
• Use the coding and abstracting system as a communication tool, including placing accounts on hold to ask questions and initiate queries as needed.
• Receive feedback and review charts with a Coding Management Team member for accurate code assignment.
• Provide all necessary coded and abstracted information for final coding and billing within productivity expectations to support DNFB dollars and bill hold days.
• Review prepopulated patient demographic information from source systems into the coding system and make necessary abstracted data changes for accurate posting to the billing system.
• Calculate inpatient encounters in MS-DRG and APR-DRG groupers to support accurate reporting of coded data for severity of illness and risk of mortality.
• Sequence CPT codes invoking the APC grouper methodology to determine the proper CPT code hierarchy.
• Submit timely, accurate, and concise daily productivity reports according to department policy.
• Attend and participate in coding section and department meetings, inservice trainings, seminars and workshops.
• Identify and report errors in patient identification, account or encounter information, documentation or other medical record discrepancies during daily work.
• Support the Coding Management team with special coding projects as assigned.
• Collaborate with HIMS Coding Systems Analyst on IT initiatives, system testing and report reconciliation for coding/billing systems and other IT project support as needed.
• Collaborate with the HIMS Coding Support Team to achieve revenue cycle goals, including reviewing aged coding accounts and accessing the billing system and reports as needed.

Education and Experience Requirements

• CCS credential required.
• College Degree in Health Information Management, completion of an AHIMA-approved certificate program, or one year of coding experience in acute care (Inpatient, Observation, Emergency Medicine or Same Day Surgery).
• Associate or Bachelor of Science in Health Information Technology preferred.
• An equivalent combination of education and experience may be substituted.

Benefits and Compensation

• Full Medical, Dental, Vision, Life Insurance, etc.
• 403(b) with company match.
• Generous paid time off.
• Work/Life benefits including care.com membership, backup care services for dependents, retirement planning services, financial coaching, wellness reimbursement, and discounts on various vendor services.

Hourly Pay Range: $27.31 - $40.96. This pay rate/range represents ChristianaCare's good faith and reasonable estimate of compensation at the time of posting. The actual salary within this range offered to a successful candidate will depend on factors including skills and experience.

Christiana Care Health System is an equal opportunity employer, committed to prohibiting discrimination, and considers qualified applicants for open positions without regard to race, color, sex, religion, national origin, sexual orientation, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable law.

Post End Date: Dec 1, 2025

EEO Posting Statement

ChristianaCare offers a competitive benefits package. To learn more about benefits for eligible positions, visit the following: