Coder Inpatient

Omega Healthcare Solutions•Boca Raton, FL

1d•$33 - $46•Remote

About The Position

Under limited supervision, the Coder Inpatient reviews medical records and performs coding on all diagnoses, procedures, and DRG. The Coder Inpatient uses the most accurate codes for reimbursement purposes, research, epidemiology, statistical analysis outcomes, financial and strategic planning, evaluation of quality of care, and communication to support the patient’s treatment. The Coder Inpatient will be charged with maintaining the confidentiality of patient records and procedures.

Requirements

Minimum of 3 years of coding experience in a large acute care setting of at least 700 beds.
Experience coding medical and surgical cases for multi specialties to include but not limited to cardiothoracic, cardiology, neurosurgery, neurology, vascular, orthopedics, oncology, pulmonary, infectious disease, neonatal, OB/GYN, general medicine and general surgery.
Experience with complicated cases and long length of stays.
Must have experience working with CDI.
Must have either a RHIA, RHIT or CCS certification.
Experience with Cerner is required.
Experience with a CAC is required.
Productivity expectation is 1.5 charts per hour.
Quality expectation is a minimum of 95% accuracy.
Must be available during regular business hours (8a-5p EST) the first week for training.
Successful completion of an AAPC or AHIMA-approved Coding Certificate Program and a minimum of two to four years of current production coding experience in both acute care and profee.
Must have the following certificates and/or licenses: RHIA, RHIT, or CCS.

Nice To Haves

Experience with Optum eCAC is preferred.

Responsibilities

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
Perform duties in compliance with Company’s policies and procedures, including but not limited to those related to HIPAA and compliance.