Coder Inpatient

Omega•Boca Raton, FL

3h•$41•Remote

About The Position

This role is responsible for abstracting, coding, sequencing, and interpreting clinical information from various medical records including inpatient, outpatient, emergency department, pro fee, and clinical records. The coder will assign correct principal diagnoses, secondary diagnoses, principal procedure, and secondary procedure codes with attention to accurate sequencing. They will utilize technical coding principles and DRG/APC reimbursement expertise to assign appropriate codes, abstracting and coding pertinent medical data into multiple software programs and/or encoders. The position requires adherence to official coding guidelines, external regulatory and accreditation requirements, and State and Federal regulations. The coder will extract pertinent data from patient health records to determine appropriate coding for reports and billing documents, identify codes for reporting medical services and procedures, and enter codes into various computer systems. Productivity tracking and maintenance of a 95% quality rating are essential. Duties must be performed in compliance with Company policies, including HIPAA and compliance regulations.

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.
Knowledge of coding convention and rules established by the AHIMA, American Medical Association (AMA), the American Hospital Association (AHA) and the Center for Medicare and Medicaid (CMS), for assignment of diagnostic and surgical procedural codes.
Knowledge of JCAHO, coding compliance and HIPAA HITECH standards affecting medical records and the impact on reimbursement and accreditation.
Skill in operating a personal computer and utilizing a variety of software applications.
Must have the following certificates and/or licenses: CPC, COC, CIC, RHIA, RHIT, CCS, and/or CCS-P.
Successful completion of an AHIMA-approved Coding Certificate Program
At least three years of current production coding experience in acute care.
RHIA, RHIT, CCS
Systems: 3M, Meditech, One Content, Paragon, Cerner, Affinity, and MedHost
Willing to learn other systems if we need additional logins for Lifepoint.

Nice To Haves

Demonstrate leadership, mentoring, and interpersonal skills.
Demonstrate excellent presentation, verbal and written communication skills.
Ability to develop and maintain relationships with key business partners by building personal credibility and trust.
Maintain courteous and professional working relationships with employees at all levels of the organization.
Demonstrate excellent analytical, critical thinking and problem solving skills.

Responsibilities

Abstracting, coding, sequencing and interpreting the clinical information from inpatient, outpatient, emergency department, pro fee and clinical medical records.
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
Perform duties in compliance with Company’s policies and procedures, including but not limited to those related to HIPAA and compliance.