Hospital Based Inpatient Coder III - HIM - PT - Days - Remote Eligible

Memorial Healthcare

7d•Remote

About The Position

Utilizing an electronic medical record and computerized encoder, assigns and sequences diagnosis and procedure codes and present on admission indicators for inpatient encounters based on medical record documentation in accordance with Official Coding Guidelines, CMS regulations, encoder software guidance and Health Information Management (HIM) policies and procedures.

Requirements

High School Diploma or Equivalent (Required)
Certified Coding Associate (CCA) - American Health Information Management Association (AHIMA)
Requires critical thinking skills, effective communication skills, decisive judgment and the ability to work with minimal supervision.
Must be able to work in a stressful environment and take appropriate action.
Proficient in basic computer skills and ability to utilize a computerized encoder and electronic medical record system.
Three (3) years inpatient coding experience in a hospital setting or a graduate of the MHS coder intern program.

Nice To Haves

Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS).
Focused education of hospital based coding.

Responsibilities

Reviews and validates accuracy of Admission-Discharge-Transfer (ADT) data fields; abstracts discharge disposition, physicians, procedure dates, and present on admission (POA) indicators.
Maintains strict adherence to patient confidentiality according to MHS Standards and regulatory requirements.
Reviews inpatient medical records to assign and sequence all appropriate diagnosis and procedure codes utilizing encoder software and following official coding guidelines.
Reviews Medicare Severity Diagnosis Related Groups (MSDRGs) and All Patient Refined Diagnosis Related Groups (APRDRGs) for appropriate code assignment.
Performs all other duties as requested.
Attends educational meetings and seminars to maintain certification and continuing education requirements.
Meet and maintain Memorial Healthcare System (MHS) coding quality and productivity standards.
Submit daily productivity report to manager by defined deadline.
Formulates physician queries for validation of pathological findings.
Requests clinical validation queries for Clinical Documentation Integrity (CDI) review and follow-up.
Seeks clarification from providers or other designated resources to ensure accurate and complete coding.
Reviews appropriate inpatient coding work queues daily to address coding edits and needed corrections and follows procedure to notify billing as needed.
Reviews accounts and performs needed correction for internal audits and external denials.