Coder II (Inpatient) - Full Time

#REF!•Arlington, TX

6d•Remote

About The Position

Are you looking for a rewarding career with a top-notch healthcare company? We are looking for qualified Coders like you to join our Texas Health Family. This is a 100% remote position with flexible hours and scheduling, offering a terrific work/life balance. The HIMS Coding Department is looking for a Coder II (Inpatient) to join their team.

Requirements

High School Diploma or Equivalent is required
Completion or training in ICD-10 CM/PCS (provide documentation upon interview), Competency of 95 accuracy required.
2 years of inpatient coding in an acute hospital setting required.
Other – AHIMA or AAPC coding credentials (CCS, CCS-P, CCA, CPC) upon hire required.
Analytical and interpretation skills when applying coding guidelines and principles for correct code assignment and proper sequencing of diagnoses and procedures.
Ability to apply definition of principal diagnosis for accurate coding, MS-DRG and POA assignment.
Strong knowledge of ICD-10-CM/PCS diagnosis and procedure coding guideline, DRG and POA assignment.
Moderate skills including MS Office Suite, encoder software and computer-assisted-coding software.
Demonstrated appropriate utilization of coding software and coding reference material to facilitate achieving accurate coded data.
Effective oral and written communication skills with the ability to generate clear documentation quires to physicians.

Nice To Haves

Associate’s Degree in Health information related preferred.
RHIT – Registered Health Information Technician upon hire preferred
RHIA – Registered Health Information Administrator upon hire preferred.

Responsibilities

Reviews and interprets health record documentation to accurately identify pertinent primary and secondary diagnosis and procedures that require code and DRG assignment for properly billing inpatient records.
Presents on Admission indicators and calculates the correct MS-DRG, Severity of Illness and Risk of Mortality levels per official coding guidelines, THR coding compliance policies and procedures, CMS and other third party payers to ensure accurate reimbursement.
Assesses high risk quality cases to accurately trigger pre-bill coding review process.
Abstracts and complies clinical data elements such as attending physician, surgeon, consultants, ED physician, birth weight, etc. according to THR guidelines.
Validates and initiates correction on patient status, admit and discharge dates and discharge disposition for calculation of correct DRG and length of stay for correct reimbursement.
Queries physician when documentation in the record is ambiguous, inadequate, unclear or incorrect for coding and compliance purposes.
Collaborates with Clinical Documentation Specialist to improve coding and documentation.
Demonstrates and maintains adequate productivity and coding quality metrics as outlined in job description.
Demonstrates and maintains coding proficiency by staying abreast of coding guidelines as published in Coding Clinic.
Demonstrates timely completion of all THR training and education as well as maintains credentials by completing assigned continuing education credits per THR Coding Compliance requirements.