Coder Inpatient
About The Position
Responsible for abstracting, coding, sequencing, and interpreting clinical information from inpatient, outpatient, emergency department, pro-fee, and clinical medical records. Responsible for assigning 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. Mains compliance with external regulatory and accreditation requirements as well as state and federal regulations. Extract pertinent data from the patient's health record and determine appropriate coding for reports and billing documents. Identifies codes for reporting medical services and procedures performed by physicians. Enters codes into various computer systems dependent upon the various clients. Track and document productivity in specified systems and maintain productivity levels as defined by the client. Maintain a 95% quality rating. Perform duties in compliance with the Company's policies and procedures, including but not limited to those related to HIPAA and compliance.
Requirements
- Successful completion of an AHIMA-approved Coding Certificate Program
- Minimum of three years of current production coding experience in acute
- RHIA, RHIT, CCS
- Systems: One Content, Paragon, and 3M
- Willing to learn other systems, if we need to get other logins for Lifepoint.
- Meditech, Cerner, Affinity, and Medhost
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, and 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 as well as state and federal regulations.
- Extracting pertinent data from the patient's health record and determine 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 maintain productivity levels as defined by the client.
- Maintaining a 95% quality rating.
- Performing duties in compliance with the Company's policies and procedures, including but not limited to those related to HIPAA and compliance.
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What This Job Offers
Industry
Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services
Education Level
No Education Listed
Number of Employees
5,001-10,000 employees
