Coder III - Inpatient

Avera•Sioux Falls, SD

12h•$28 - $42

About The Position

Responsible for the timely and accurate assignment of diagnostic and procedural codes for most types of inpatient charts for a across multiple facilities within Avera Health with a focus on the more complex and high-dollar cases. Accurate abstracting, along with other reporting and editing functions to meet quality and production goals for the position, with occasional guidance from other professional staff. Provide mentorship and training to Coder I, II, and III's along with helping others with denials management.

Requirements

The individual must be able to work the hours specified.
To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds.
Certified Coding Specialist - Physician-based (CCS-P) - American Health Information Management Association (AHIMA) within 180 Days or Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA) within 180 Days or Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA) within 180 Days or Registered Health Information Tech (RHIT) - American Health Information Management Association (AHIMA) within 180 Days

Nice To Haves

Associate's Health Information Administration or Health Information Technology
4-6 years of coding experience.

Responsibilities

Review all aspects of a patient's clinical documentation in order to identify the appropriate sequence of ICD-10-CM diagnosis and PCS procedure codes for assigned patient charts across Avera's facilities.
Understand the basics of ICD-10-CM and PCS codes in depth, and be willing to update that knowledge through research or other educational opportunities.
Coder III - In patient is distinguished by specific services lines which could include but not limited to the following: Cardiothoracic, Surgery of various specialties, Oncology, ICU and others as appropriate.
Expected to have a mastery level of knowledge for the majority of patient types encountered in the inpatient service line and code those types as needed.
Focused on determining the appropriate DRG based on insurance and/or medical coding for inpatient charts or other charts as necessary for the inpatient service line.
Serves as a subject matter expert for other health professionals within Avera on these topics on occasion.
Queries physicians and clinical documentation staff to ensure a full capture of the clinical record for appropriate DRG classification and/or medical coding.
Assist with the training of new employees and communications between health information management, billing, and providers as needed.
Assist staff with denials management, including the processing of edits, serving as subject matter expert, or helping to provide input with medical necessity and guidance from coding guideline references as needed for appeals.
Maintains personal quality and production statistics in accordance to service line standards for a Coder I.
Adheres to ethical standards regarding coding as set by Avera Health.