Coder Inpatient
About The Position
We are seeking a detail-oriented, experienced Inpatient coder. Must have a varied background in IP coding, handling a wide array of specialties and trauma levels, teaching facility experience, and multi-specialties (Ortho, Cardiac, Neuro, OB/GYN, Med/Surg, etc.) outside of General Medical/Surgery. The role involves abstracting, coding, sequencing, and interpreting clinical information from various medical records. The coder will assign correct principal diagnoses, secondary diagnoses, and principal/secondary procedure codes with attention to accurate sequencing, utilizing technical coding principles and DRG/APC reimbursement expertise. This position requires abstracting and coding pertinent medical data into multiple software programs and/or encoders, following official coding guidelines, and maintaining compliance with external regulatory and accreditation requirements, as well as state and federal regulations. The coder will extract pertinent data from patient health records, determine appropriate coding for reports and billing documents, identify codes for reporting medical services and procedures, and enter codes into various client-specific computer systems. Productivity tracking and maintenance of a 95% quality rating are essential, along with compliance with company policies, including HIPAA and compliance procedures.
Requirements
- EPIC and eCAC experience
- RHIT, RHIA, CCS credentials
- 2 to 3 years of experience
- Varied background in IP coding
- Experience handling a wide array of specialties and trauma levels
- Teaching facility experience
- Multi-specialties (Ortho, Cardiac, Neuro, OB/GYN, Med/Surg, etc.) outside of General Medical/Surgery
- Ability to prioritize and multi-task in a fast-paced, changing environment
- Ability to work in all work types and specialties
- Ability to self-motivate, set goals, and meet deadlines
- Leadership, mentoring, and interpersonal skills
- Excellent presentation, verbal and written communication skills
- Ability to develop and maintain relationships with key business partners by building personal credibility and trust
- Courteous and professional working relationships with employees at all levels of the organization
- Excellent analytical, critical thinking and problem solving skills
- Skill in operating a personal computer and utilizing a variety of software applications
- Knowledge of coding convention and rules established by the AHIMA, American Medical Association (AMA), the American Hospital Association (AHA) and the Center for Medicare and Medicaid (CMS), for assignment of diagnostic and surgical procedural codes
- Knowledge of JCAHO, coding compliance and HIPAA HITECH standards affecting medical records and the impact on reimbursement and accreditation
Responsibilities
- Abstracting, coding, sequencing, and interpreting clinical information from inpatient, outpatient, emergency department, pro-fee, and clinical medical records.
- Assigning correct principal diagnoses, secondary diagnoses, and principal procedure and secondary procedure codes with attention to accurate sequencing.
- Utilizing technical coding principals and DRG/APC reimbursement expertise to assign appropriate codes.
- Abstracting and coding pertinent medical data into multiple software programs and/or encoders.
- Following official coding guidelines to review and analyze health records.
- Maintaining compliance with external regulatory and accreditation requirements as well as state and federal regulations.
- Extracting pertinent data from the patient’s health record and determining appropriate coding for reports and billing documents.
- Identifying codes for reporting medical services and procedures performed by physicians.
- Entering codes into various computer systems dependent upon the various clients.
- Tracking and documenting productivity in specified systems and maintaining productivity levels as defined by the client.
- Maintaining a 95% quality rating.
- Performing duties in compliance with the Company’s policies and procedures, including but not limited to those related to HIPAA and compliance.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
