Hospital Coder / Inpatient - Full Time
About The Position
Reviews inpatient clinical documentation, procedural information, and diagnostic results and assigns ICD-10-CM and ICD-10-PCS diagnostic and procedural codes for billing, internal and external data reporting, research, regulatory compliance, and quality monitoring. Applies Official Coding Guidelines, CMS regulations and guidelines, and other standards established for the ICD-10 code set. The coder maintains organizational quality and productivity standards and stays current on coding principles, governmental regulations, official guidelines, and third-party payer requirements related to compliant documentation, billing, and coding. The role requires strong knowledge of MS-DRGs and APR-DRGs and collaboration with providers and departments such as clinical documentation improvement and quality to standardize and improve coding, documentation, and quality-reporting practices. The position uses a variety of software solutions and calls for flexibility and a strong commitment to teamwork across geographically distant staff and leaders. Work is most often home-based.
Requirements
- Associate degree in Health Information Technology (or eligibility for it), or a bachelor's degree in Health Information Management and/or Certified Coding Specialist (CCS).
- RHIA, RHIT, or CCS certification is required.
- New graduates eligible for certification must take the certification examination at the earliest testing dates following employment and continue testing until they pass.
- Strong knowledge of MS-DRGs and APR-DRGs.
- Flexible and strongly committed to teamwork.
Nice To Haves
- Previous hospital coding experience is highly desirable.
- Prior computer and/or encoder software experience is desirable.
Responsibilities
- Review inpatient clinical documentation, procedural information, and diagnostic results.
- Assign ICD-10-CM and ICD-10-PCS codes to documented conditions and procedures in the inpatient electronic medical record.
- Apply Official Coding Guidelines, CMS regulations and guidelines, and other ICD-10 coding standards.
- Maintain organizational quality and productivity standards.
- Stay current on coding principles, governmental regulations, official coding guidelines, and third-party payer requirements related to compliant documentation, billing, and coding.
- Collaborate with providers and departments such as clinical documentation improvement and quality to improve coding, documentation, and quality-reporting practices.
- Use a variety of software solutions in daily work.
- Work collaboratively with staff and leaders across geographically distant locations.
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What This Job Offers
Job Type
Full-time
Education Level
Associate degree
