Coder/Abstraction- Inpt

HFSC•New Britain, CT

36d•Hybrid

About The Position

We are dedicated to creating an environment of care and engagement that makes us one of the most desirable places to work, providing exceptional care to each patient each and every day! Responsible for the coding and facility charge process for inpatient accounts, may assist from time to time with outpatient coding. Abstracts clinical information from medical records and assigns appropriate ICD 10 diagnoses and procedure codes as appropriate and CPT modifiers according to coding guidelines and established procedures. Educates both medical and clinical staff on appropriate documentation practices, DRG assignment and changes in assignments, modifier usage, changes in software upgrades and communicates guidelines as published by regulatory agencies. Works closely with clinical documentation improvement initiatives and patient accounts to ensure documentation accurately reflects patient acuity for services rendered. At HFSC, we are a family. Each person who is a part of our team of 1,300 employees and volunteers offers unique talents and perspectives. We all believe in keeping the same shared value of making our patients the center of what we do. By combining all of our unique skills and shared values we are able to make a positive difference in the lives of our patients. We are dedicated to creating an environment of care and engagement that makes us one of the most desirable places to work. We are an Equal Opportunity Employer and offer a competitive benefits package. Not finding the right fit? Let us know you're interested in a future opportunity by clicking Get Started below or create an account by clicking 'Sign In' at the top of the page to set up email alerts as new job postings become available that meet your interest!

Requirements

Associate’s degree in health information management or equivalent from two-year college. Minimum 3 years coding inpatient records in acute or acute/long term care setting. Years of experience in coding may be considered as substitute for education. Experience with coding outpatient/ clinic records desirable.
Certified Coding Specialist (CCS) or Certified Coding Specialist – Physician-based (CCS-P), or Certified Professional Coder-Payer (CPC-P), or able to achieve certification within 2 years of hire.
Ability to read, analyze, interpret ICD-9, ICD-10, CPT, HCPCS and Modifier books. Ability to document and follow-up on Discharged Not Final Billed (DNFB) reports and to effectively present information and respond to questions from Administration, Physicians, and committee members. Can effectively describe when and how to use modifers on CPT codes to physicians and other healthcare providers. Understands denials and how to solve them.
Must be proficient in Anatomy and Physiology, Medical Terminology, and 3M applications. Past experience using 3M HDM report writer a plus. Must be familiar with a hybrid medical record and working with an electronic medical record. Must have experience with proper DRG assignment.
Must be proficient in Anatomy and Physiology, Medical Terminology, and 3M applications.
Stays current with official coding guidelines for both inpatient and outpatient coding.
Stays abreast of any regulatory changes regarding the assignment of ICD-9, ICD-10, HCPCS, CPT and modifier assignment.
Takes initiative to read relevant professional journals.
Stays current with all continuing education certification requirements relating to coding certification.
This position works a hybrid schedule.

Nice To Haves

Experience with coding outpatient/ clinic records
Registered Health Information Technician (RHIT) certification is a plus.

Responsibilities

Ensures that coding processes can be completed timely and efficiently for admission and discharged inpatient records.
Working with HIM and other staff to identify and resolve outstanding accounts that require documents in order to completely code.
Prepares daily outstanding coding report and distributes as appropriate.
Assigns admission DRG for all admitted patients within 24 hours, reports to Case Management and Admitting
Uses EMR, 3m HDM abstracting, coding and reference tool, along with clinical documentation tool to assign all diagnostic, procedure and facility-based charging in a timely manner.
Works in collaboration with others using Coding Guru to ensure proper use of modifier assignment to CPT codes for inpatient and outpatient procedures or services.
Resolves outstanding edits and denials for assigned case load weekly. Communicates to clinicians to resolve issues.
Follows up with providers for any records which cannot be completed for lack of documentation or clarification. Distributes coding queries as appropriate.
Provides information/training to clinical staff and providers on changes in coding practices such as ICD-10, CPT and modifiers, appropriate documentation practices, and DRG assignments as needed.
Assists with updating departmental coding policies and procedures.
Serves as a resource for all hospital staff with questions related to Inpatient ICD 9/10 coding, CPT modifier and DRG assignments.
Participates in training, updates and knowledge-based review on utilizing the Electronic Medical Record to maximize efficient use for coding.
Maintains knowledge of Inpatient coding practices and procedures.
Maintains knowledge of Federal, State, and JC standards of documentation regulations and guidelines.
Maintains and keeps coding credentials current.