Inpatient Coding Specialist (Coder III) - Fully Remote

Tufts Medicine

1d•$32 - $40•Remote

About The Position

This role focuses on activities related to revenue cycle operations such as billing, collections, and payment processing. In addition, this role focuses on performing Health Information Management duties, including ensuring the accuracy, maintenance, security, and confidentiality of patient's health information. This is a senior-level role that requires broad knowledge of operational procedures and tools obtained through extensive work experience and may require vocational or technical education. The position reviews medical records to assure accurate specificity of diagnoses and procedures for inpatient admissions, effectively utilizing ICD-10 CM and PCS codes according to coding guidelines. It involves communicating with providers and staff regarding missing information, managing deficiencies within Epic, and working with leadership on denial reports and audits. The role also involves attending meetings and education sessions and performing other related duties as assigned.

Requirements

High school diploma or equivalent.
Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC), Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT).
Three (3) years of ICD-10-CM and PCS coding experience.
EMR experience.

Nice To Haves

Associates degree.
Five (5) years of Inpatient ICD-10-CM and PCS coding experience within a Teaching hospital or Level One Trauma Center.
Epic and CAC Experience.

Responsibilities

Verifies and abstracts clinical and demographic data from the patient record.
Performs chart audits prior to coding to ensure required documentation is complete and signed.
Queries appropriate providers or departments when deficiencies prevent the start of the coding process.
Assigns accurately ICD-10 CM an ICD10 PCS codes, derived from medical record documentation for patient account.
Reviews reports with leadership to identify discrepancies.
Reviews audit lists regarding coding/billing changes, as well as denial reports.
Identifies and evaluates coding issues, summarizes findings for leadership, makes recommendations for course of action.
Works actively with physicians to initiate corrections and resolve discrepancies in coding and documentation.
Ensures that all accounts are submitted accurately and in a timely manner.
Works collaboratively with Compliance, Educators, and Auditors.
Ensures that all medical records are coded and abstracted within 72 hours of patient discharge.
Responsible to follow-up on assigned discharges for final coding.
Acts as a resource for answering coding questions from interdepartmental staff.
Documents results of all special project work and providing recommendations relating to special projects.
Attend meetings as necessary and participates on projects to ensure that all services are captured through codes.
Maintains good relationship with providers and office personnel to facilitate good communication in coding queries.
Promote excellent customer service.
Identify and communicate problems and/or opportunities to improve processes with management.
Maintains collaborative, team relationships with peers and colleagues in order to effectively contribute to the working groups achievement of goals, and to help foster a positive work environment.
Performs job junctions adhering to service principles with customer service focus of innovation, service excellence and teamwork to provide the highest quality care and service to our patients, families, colleagues and community.
Participates in coding audits coding staff in order to maintain quality standards and offer feedback to management.
Works closely with the DRG Validator to maintain high coding standards.