Inpatient Medical Coder 3

The Ohio State University
Remote

About The Position

Coding services assigns diagnosis and procedural codes to inpatient and outpatient medical records to facilitate the reimbursement and data collection for the individual business units of the OSU Health System. ICD-10-CM/PCS diagnoses and procedure codes are applied to inpatients and CPT-4 procedure codes are applied to all outpatients treated within the OSU Health System that are not captured through the charge description master. Medical record abstract data is assigned based on information reviewed for accuracy in IHIS during the coding process. The position is responsible for coding medical records and other documents at the conclusion of the patient’s visit. A senior medical records coding specialist requires the skill set to code multiple work types for inpatient and outpatient services. This requires selection of appropriate admitting diagnosis, principal and secondary diagnoses, principal procedure and secondary procedures; assigning accurate ICD-10 and/or CPT-4 codes; sequencing the diagnoses and procedures codes; and abstracting information including admission source, type, disposition, admitting, attending and procedure attending physicians. Codes are selected in the Computer Assisted Coding/Encoder Software following review of information in the electronic medical record system, IHIS. Information abstracted and coded is interfaced to IHIS Resolute Billing system. This staff member is responsible to address all edits during the coding and abstracting process for complete and accurate coding and MS-DRG and APR-DRG assignment for hospital reimbursement. This staff member will maintain productivity and quality standards set for the department maintain an approved work schedule and submit a weekly volume log.

Requirements

  • Associate’s Degree in Health Information Management.
  • Credentialed as a Registered Health Information Technician, Registered Health Information Administrator, or Certified Coding Specialist by the American Health Information Management Association.
  • 2 years of relevant experience required.

Nice To Haves

  • 4-6 years of relevant experience preferred.

Responsibilities

  • Assigns diagnosis and procedural codes to inpatient and outpatient medical records.
  • Applies ICD-10-CM/PCS diagnoses and procedure codes to inpatients.
  • Applies CPT-4 procedure codes to all outpatients.
  • Assigns medical record abstract data based on information reviewed for accuracy in IHIS.
  • Codes medical records and other documents at the conclusion of the patient’s visit.
  • Selects appropriate admitting diagnosis, principal and secondary diagnoses, principal procedure and secondary procedures.
  • Assigns accurate ICD-10 and/or CPT-4 codes.
  • Sequences the diagnoses and procedures codes.
  • Abstracts information including admission source, type, disposition, admitting, attending and procedure attending physicians.
  • Addresses all edits during the coding and abstracting process for complete and accurate coding and MS-DRG and APR-DRG assignment for hospital reimbursement.
  • Maintains productivity and quality standards set for the department.
  • Maintains an approved work schedule and submits a weekly volume log.

Benefits

  • Medical, dental and vision coverage, with Ohio State paying a significant portion of the cost.
  • Paid time off, including sick and vacation time and 11 holidays.
  • State retirement plan or an alternative retirement plan, both with generous employer contributions.
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