Coder Inpatient
About The Position
Responsible for abstracting, coding, sequencing and interpreting the clinical information from inpatient, outpatient, emergency department, pro fee and clinical medical records. Responsible for the assignment of correct principal diagnoses, secondary diagnoses and principal procedure and secondary procedure codes with attention to accurate sequencing. Utilizes technical coding principals and DRG/APC reimbursement expertise to assign appropriate codes. Abstracts and codes pertinent medical data into multiple software programs and/or encoders. Follows official coding guidelines to review and analyze health records. Maintains compliance with both external regulatory and accreditation requirements, and with State and Federal regulations. Extracts pertinent data from the patient’s health record, and determines appropriate coding for reports and billing documents. Identifies codes for reporting medical services, procedures performed by physicians. Enters codes into various computer systems dependent upon the various clients. Track and document productivity in specified systems, maintain productivity levels as defined by the client. Maintain 95% quality rating. Regularly participates in virtual meetings, training, coaching, audits, and other work-related interactions using Company-approved collaboration technology, including audio and video, as required by Company or client. Performs duties in compliance with Company’s policies and procedures, including but not limited to those related to HIPAA and compliance.
Requirements
- Successful completion of an AAPC or AHIMA-approved Coding Certificate Program
- A minimum of two to four years of current production coding experience in both acute care and profee.
- IP Coder, CCS required.
- Experience with Level I Trauma, Transplants, Major Cardiothoracic Procedures.
- EPIC and CAC experience required.
- Must have the following certificates and/or licenses: CPC, COC, CIC, RHIA, RHIT, CCS, and/or CCS-P.
Responsibilities
- Abstracting, coding, sequencing and interpreting clinical information from inpatient, outpatient, emergency department, pro fee and clinical medical records.
- Assigning correct principal diagnoses, secondary diagnoses, principal procedure, and secondary procedure codes with attention to accurate sequencing.
- Utilizing technical coding principals and DRG/APC reimbursement expertise to assign appropriate codes.
- Abstracting and coding pertinent medical data into multiple software programs and/or encoders.
- Following official coding guidelines to review and analyze health records.
- Maintaining compliance with external regulatory and accreditation requirements, and with State and Federal regulations.
- Extracting pertinent data from the patient’s health record and determining appropriate coding for reports and billing documents.
- Identifying codes for reporting medical services and procedures performed by physicians.
- Entering codes into various computer systems dependent upon the various clients.
- Tracking and documenting productivity in specified systems and maintaining productivity levels as defined by the client.
- Maintaining a 95% quality rating.
- Regularly participating in virtual meetings, training, coaching, audits, and other work-related interactions using Company-approved collaboration technology, including audio and video, as required by Company or client.
- Performing duties in compliance with Company’s policies and procedures, including but not limited to those related to HIPAA and compliance.
Benefits
- health coverage
- dental coverage
- vision coverage
- voluntary insurance options
- a 401(k) plan with employer match
- professional development opportunities
- paid time off
- holiday pay
- bonus programs
- commissions
- other variable incentive plans
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
