UMH Sparrow - REMOTE INPATIENT CODER

Sparrow•Lansing, MI

1d•Remote

About The Position

This is an advanced coding position that requires reviewing medical record documentation to accurately assign ICD-10-CM, ICD-10 PCS, and the appropriate MS-DRG/APR-DRG based on payor classification. The role involves abstracting specific data elements for each case in compliance with federal regulations. The Inpatient Coder must adhere to Official Guidelines of Coding and Reporting, AHIMA Coding Ethics, AHA Coding Clinics, CMS directives, and bulletins. This position utilizes Optum CAC according to established workflows and maintains required quality and productivity standards.

Requirements

Certified Coding Specialist (CCS), Registered Health Information Management Technician (RHIT) or Registered Health Information Administrator (RHIA).
Member of the AHIMA or AAPC in good standing (i.e., has paid dues and completed required continuing education).
Minimum one (1) year recent facility coding experience.
Per diem candidates must have minimum three (3) years of recent inpatient coding experience.
High School Diploma/GED.
Must pass departmental testing as follows: Coding – 80% or better.

Nice To Haves

Associate Degree in Health Information Technology/Management.
Experience in a major academic medical center and ICD-10-CM/PCS.
Microsoft Office skill and experience (Word, Excel, and PowerPoint).
Excellent computer skills and previous experience with computer-assisted-coding and encoder/grouper.

Responsibilities

Extracts, reviews, and analyzes clinical information, identifies and abstracts all pertinent information and translates data into appropriate codes for hospital billing, POA and PSI indicators, research, statistics, financial planning, compliance and marketing to ensure completeness, accuracy and compliance with established guidelines of all governmental regulatory agencies and third-party payers.
Reviews medical record documentation and accurately assigns appropriate ICD-10 diagnoses and procedure codes, leading to the assignment of the correct Medicare Severity-Diagnosis Related Group, (MS-DRG) or All Patient Refined Diagnosis Related Group, (APR-DRG.)
Responsible for verification of the patient's discharge disposition and to ensure the appropriate present on admission (POA) indicators are assigned to each code. The assigned codes must support the reason for the visit that is documented by the provider to support the care provided.
Correctly abstracts required data per facility specifications.
Exercises independent judgment in determining case complexity by utilizing clinical knowledge to understand the etiology, pathology, signs, symptoms, diagnostic studies, treatment modalities and prognosis of diseases and procedures to be coded.
Researches complex diagnoses and/or procedures as needed to enhance coding knowledge to consistently apply the correct ICD-10-CM and ICD-10-PCS codes.
Captures the correct principal diagnosis, co-existing conditions, and principal procedure for each inpatient admission.
Works in collaboration with CDI team to consult with the providers to clarify or improve documentation for correct coding assignment to ensure correct data reporting and reimbursement and to maintain compliance with Federal and State regulations.
Responsible for sequencing codes that capture accurate Severity of Illness/Risk of Mortality.
Interacts closely with the Clinical Documentation Specialists and DRG Compliance Auditors to query the medical staff appropriately and professionally to obtain accurate documentation necessary to ensure coding compliance and accuracy.
Expands job-related knowledge and skills by attending and participating in in-services and staff meetings.
Keeps abreast of coding guidelines and quarterly AHA Coding Clinic.
Attends required system, hospital and departmental meetings and educational sessions as established by leadership, and completes required annual learning programs, to ensure continued education and growth.
Responsible for ensuring accuracy and maintaining established quality and productivity standards, as well as key performance indicators.