Coder - Inpatient (Local or Remote with Experience)

UMC Health System•Richmond, KY

About The Position

We’ve learned that what is best for patients is also best for employees. Learn more about why we are one of the Best Companies to Work for in Texas®. Job Summary The Medical Coder is responsible for ICD-10 coding of diagnoses and procedures of inpatient/outpatient discharged patient records. Job Specific Responsibilities Daily assignments may include but are not limited to: • Apply diagnoses codes to in-patient, out-patient, and emergency services • Maintain knowledge of current laws and regulations related to insurance, Medicare, Medicaid, and DRG coding, sequencing, and CPT coding • Perform quality improvement reviews as assigned • All other assigned duties related to Health Information Management Inpatient Coder Duties: • Review and analyze inpatient medical records to assign ICD-10-CM/PCS codes. • Ensure completeness of the record to assign the accurate DRG (Diagnosis Related Group) assignment for reimbursement. • Maintain knowledge of current coding guidelines, Coding Clinics and facility-specific coding policies. • Collaborate with clinical documentation specialists as needed for unclear or inconsistent documentation requiring queries. • Maintains knowledge of coding updates through provided or self- learning to ensure compliance with all changes. • Maintain productivity and accuracy standards as defined by the department. Outpatient Coder Duties: • Review outpatient encounters including same-day surgery and observation. • Assign appropriate ICD-10-CM, CPT, and HCPCS codes based on documentation. • Ensure accurate coding for billing and regulatory compliance. • Apply NCCI edits and modifier usage where applicable. • Communicate with supervisor to clarify documentation when necessary. • Meet department standards for productivity and accuracy. Interaction with Other Departments and Other Relationships This position will interact with medical staff and physicians throughout the hospital including Clinical Documentation Improvement (CDI) and Patient Financial Services (PFS). Physical Capabilities Position requires prolonged time periods of sitting at a desk, talking on a phone, and working on a computer. Essential hearing and near vision acuity required. Should be able to lift up to 10 pounds Environmental/Working Conditions Work area is well lighted, and subject to varying indoor temperature changes. UMC Health System provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment on the basis of race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. Request for accommodations in the hire process should be directed to UMC Human Resources. Benefits: Resilience program Emotional Physical Spiritual Financial Career Community On-Site Professional Counselors (EAP) Discounted Pharmacy Cost Cash Retention Bonus (only one in our region) Retirement Benefits w/Employer Match PTO & Extended Illness Medical, Dental, & Vision Insurance And more at: https://apps.umchealthsystem.com/documents/wellness.pdf UMC Vision, Mission and Standards: Vision: To Serve Our Patients in the Best Teaching Hospital in the Country Mission Statement: Service is our passion. We serve by providing safe, high quality care to all, achieving excellent financial performance, and training tomorrow’s healthcare professionals. Standards of Excellence: Attitude, Communication, Responsiveness, Compassion, Teamwork, Ownership, Safety and Respect About UMC Magnet Designated 501 licensed beds 62 Site locations Regions only Level I Trauma Center Regions only BICU DNV accredited Primary teaching hospital for the Texas Tech University Health Sciences Center (TTUHSC) Ranked as one of the Best Places to Work in Texas by Texas Monthly UMC Physicians Culture, Vision, Mission, and Standards: Culture: Service is Our Passion Vision: The best place to work and the best place to receive healthcare. Mission Statement: To improve the quality of life for our community by providing the best patient experience for every patient. Standards: Teamwork, Respect, Accountability, Compassion, Kindness About UMCP 35 Practice Locations – private practices and urgent care centers Over 125 physicians and advanced practice providers Ranked as “One of the Best Places to Work in Texas” by Texas Monthly Employee Engagement Score of 96% measured by Press Ganey Associates

Requirements

High School Diploma or GED
Completion of Medical Record Technology program
+ 2 years of experience in Health Information Management Coding
RHIT, RHIA, CCS, or coding certificate
Demonstrated skill in using 3M Encoder computer software for ICD-10-CM and CPT
Demonstrated knowledge and understanding of diseases and their treatments and operative procedures
Strong knowledge of medical terminology, anatomy and physiology.
High attention to detail and coding accuracy.
Ability to work independently and meet productivity deadlines.
Excellent written and verbal communication skills.
Ability to maintain patient confidentiality and comply with HIPAA and organizational policies.
Essential hearing and near vision acuity required.
Should be able to lift up to 10 pounds

Nice To Haves

Experience (or ability to learn) using Solventum 360 Encompass computer assisted coding.
Experience (or ability to learn) using Cerner or Epic electronic health records system.

Responsibilities

Apply diagnoses codes to in-patient, out-patient, and emergency services
Maintain knowledge of current laws and regulations related to insurance, Medicare, Medicaid, and DRG coding, sequencing, and CPT coding
Perform quality improvement reviews as assigned
All other assigned duties related to Health Information Management
Review and analyze inpatient medical records to assign ICD-10-CM/PCS codes.
Ensure completeness of the record to assign the accurate DRG (Diagnosis Related Group) assignment for reimbursement.
Maintain knowledge of current coding guidelines, Coding Clinics and facility-specific coding policies.
Collaborate with clinical documentation specialists as needed for unclear or inconsistent documentation requiring queries.
Maintains knowledge of coding updates through provided or self- learning to ensure compliance with all changes.
Maintain productivity and accuracy standards as defined by the department.
Review outpatient encounters including same-day surgery and observation.
Assign appropriate ICD-10-CM, CPT, and HCPCS codes based on documentation.
Ensure accurate coding for billing and regulatory compliance.
Apply NCCI edits and modifier usage where applicable.
Communicate with supervisor to clarify documentation when necessary.
Meet department standards for productivity and accuracy.