ED Senior Medical Coder- Fully Remote!

TEKsystems•Chesapeake, VA

23h•$32 - $35•Remote

About The Position

The Senior Coding Specialist is responsible for accurately assigning and sequencing ICD diagnostic and procedural codes and/or CPT procedural codes to inpatient and outpatient records. This role involves coding diagnostic and procedural information from the record using ICD-10-CM/PCS and CPT-4/HCPCS classification systems, utilizing a computerized encoding system, and sequencing diagnoses and procedures according to established guidelines. The specialist will also select DRGs and APCs, abstract medical data, and ensure the accuracy and integrity of medical record abstract data prior to billing and claims submission. A significant portion of the productive time will be spent routinely coding Emergency Department records and entering E&M charges, while also meeting productivity and quality standards for ED coding. Additionally, the role may involve coding inpatient, outpatient surgery, and ancillary records as directed by the Coding Operations Manager, providing compliance/documentation education to physicians and staff, and investigating/responding to coding and documentation questions.

Requirements

Several years of ED Medical Coding experience
Certified in CCS, CPC, COC, RHIA, or RHIT
EPIC Experience
Four or more years recent experience coding in an acute hospital setting
Ability to operate or utilize fax machine, copy machines, microfiche reader/printer and Windows-based computer functions
Coding certification (CPC or CCS)
Experience w/ ED coding & charging for injections and infusions & ED procedures (laceration repairs, fracture treatments, I & D, etc)
E/M level assignment experience

Nice To Haves

Successful completion of a coding certificate program with AHIMA approval status is preferred.
Prefer Epic experience as well

Responsibilities

Code diagnostic and procedural information from the record using ICD-10-CM/PCS and CPT-4/HCPCS classification systems.
Utilize a computerized encoding system to facilitate accurate coding.
Sequence diagnoses and procedures by following the ICD-10-CM, Uniform Hospital Data Set, Medicare, Medicaid, and other fiscal intermediary guidelines.
Work cooperatively with the medical staff and other health care professionals in obtaining documentation to complete medical records and ensure quality coding.
Select the DRG for each inpatient discharge and APC for each outpatient visit.
Ensure coding compliance based on approved coding guidelines and conventions.
Abstract medical data from the record to complete a discharge abstract on each inpatient, ambulatory surgery, emergency room, outpatient, and ancillary visit.
Complete and verify diagnostic and demographic information.
Enter patient information into computerized inpatient and outpatient medical record databases.
Ensure accuracy and integrity of medical record abstract data prior to billing interface and claims submission.
Routinely code Emergency Department records and enter E&M charges the majority of productive time.
Meet productivity and quality standards for emergency department coding routinely.
Code inpatient, outpatient surgery and ancillary records as determined by Coding Operations Manager.
Provide compliance/documentation education sessions to physicians and hospital staff as requested.
Investigate, respond to, and communicate information regarding coding, documentation, and compliance questions relating infusions and injections performed in the Emergency Department and OBV.
Charge capture for Observation, Emergency Department.
Consistently maintain established productivity requirements and maintain a 96% or greater accuracy rate.
Attend other continuing education functions as necessary to maintain credentials.