The Coder is responsible for assigning diagnostic and procedural codes to patient charts using ICD-10-CM, ICD-10-PCS or any other designated coding classification system in accordance with coding rules and regulations. The coder will abstract required clinical information. This position requires a thorough knowledge of medical terminology, disease processes, pharmacology, Medicare's Inpatient Prospective Payment System (IPPS), Official Coding Guidelines for ICD-10-CM and ICD-10-PCS codes, and documentation requirements for correct and accurate coding. It is the coder's responsibility to submit physician queries when clarification of documentation is needed. Coders must also be able to collaborate with others in the organization including the CDI team, Medical Staff, and other clinicians to ensure the record accurately documents the services provided. Coder will be asked to attend Performance improvement meetings and physician documentation education meetings when needed. A Level II coder will primarily code high dollar inpatient accounts and will also be asked to preliminary code accounts for CDI staff to help catch PSIs and HACs. Level II coders must be able to offer guidance and assistance to level I coders, and must have the skills to handle complex inpatient cases. Coder must meet production standards as specified in inpatient coding procedures after orientation period. Remote coding opportunity when production standards are met.
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Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
Number of Employees
101-250 employees