Coder III (Inpatient) - Remote - Days

#REF!•Arlington, TX

12d•Remote

About The Position

We are looking for a qualified Coder III like you to join our Texas Health Family. This is a remote position with the HIMS Coding Department. The role involves providing critical assessment of health record documentation to accurately identify pertinent primary and secondary diagnoses and procedures that require ICD-10-CM/PCS code and MS-DRG assignment for proper billing of complex inpatient records. The Coder III will also abstract and compile clinical data elements, query physicians, and collaborate with Clinical Documentation Specialists and other departments when documentation is ambiguous, inadequate, unclear, or incorrect for accurate coding and compliance. Maintaining adequate productivity and quality metrics, as well as coding proficiency by staying abreast of coding guidelines, is essential.

Requirements

H.S. Diploma or Equivalent REQUIRED
Completion or training in ICD-10-CM/PCS coding program REQUIRED
3 Years Inpatient coding experience in a large, complex acute healthcare setting REQUIRED
CCS - Certified Coding Specialist Upon Hire REQUIRED
CIC - Certifed Inpatient Coder Upon Hire REQUIRED
RHIT - Registered Health Information Technician Upon Hire REQUIRED
RHIA - Registered Health Information Administrator Upon Hire REQUIRED
Ability to analyze and validate documentation that supports accurate code assignment for complex inpatient cases utilizing available coding technology appropriately.
Advanced knowledge and utilization of encoder software with usage of computer-assisted-coding software.
Ability to apply definition of principal diagnosis to arrive at correct code, MS-DRG and POA assignment.
Strong knowledge of ICD-10-CM/PCS diagnosis and procedure coding guidelines.
Expertise in the application of coding convention guidelines in all levels of inpatient coding from complex to simple.
Strong oral and written communication skills with the ability to initiate clear and concise queries to physicians.
Advanced MS Office suite skills and encoder software.
Moderate skills in computer-assisted-coding functions.
Acts as a resource/mentor to less experienced coders with the ability to assess coding accuracy and provide feedback.
Demonstrated strong decision making, problem solving and advanced critical thinking skills by applying coding concepts.

Nice To Haves

Associate's Degree Health Information Management, Nursing or other healthcare related field preferred
Bachelor's Degree Health Information Management, Nursing or other healthcare related field preferred

Responsibilities

Provides critical assessment of the health record documentation to accurately identify pertinent primary and secondary diagnosis and procedures that require ICD-10-CM/PCS code and MS-DRG assignment for proper billing complex (Medicare, high dollars, long LOS and high CMI) inpatient records.
Abstracts and compiles clinical data elements such as attending physician, surgeon, consultants, ED physician, birth weight, etc. according to THR guidelines.
Queries the physician and takes initiative to collaborate with Clinical Documentation Specialist and other departments when documentation in the record is ambiguous, inadequate, unclear or incorrect for accurate coding and compliance.
Demonstrates and maintains adequate productivity and quality metrics as outlined in job description.
Demonstrates and maintains coding proficiency by staying abreast of coding guidelines as published in Coding Clinic.