Inpatient Medical Coder 4

The Ohio State University
•Remote

About The Position

Coding services assigns diagnosis and procedural codes to inpatient and outpatient medical records to facilitate reimbursement and data collection for OSU Health System business units. The position trains and supports new medical record coding specialists and codes medical records in one or more areas, including inpatient, emergency department, ambulatory surgery, Talbot, outpatient clinic, pain block, and ancillary records. The Lead Medical Records Coding Specialist also participates in the hospital’s trauma registry. The role audits coding, helps ensure inpatient and outpatient coding policies and procedures reflect practice, protects the integrity of electronic medical record information, and monitors completion of coding activities. At the conclusion of patient visits, the coder selects and sequences appropriate admitting, principal, secondary, and procedural diagnoses; assigns accurate ICD-9, ICD-10, and/or CPT-4 codes; and abstracts information such as admission source, type, disposition, and physician details. Codes are selected in Encoder Software after reviewing the electronic medical record in IHIS. Abstracted and coded information is interfaced to IHIS Resolute.

Requirements

  • Associate degree in Health Information Management or another qualifying associate degree in health care, or a minimum of two years of daily hospital coding production specific to the area of discipline.
  • Credential as RHIA, RHIT, or CCS through the American Health Information Management Association, or as a COC through AAPC, or CPC with CHONC.
  • Minimum of two years of academic medical coding experience.
  • Four years of relevant experience required.

Nice To Haves

  • Six or more years of relevant experience preferred.

Responsibilities

  • Train and support new medical record coding specialists.
  • Audit the coding of medical records.
  • Help ensure inpatient and outpatient coding policies and procedures reflect practice.
  • Ensure the integrity of information in the electronic medical record.
  • Monitor completion of coding activities.
  • Code medical records and other documents at the conclusion of patient visits.
  • Select appropriate admitting, principal, secondary, and procedural diagnoses and procedures.
  • Assign and sequence accurate ICD-9, ICD-10, and/or CPT-4 codes.
  • Abstract admission source, admission type, disposition, and admitting, attending, and procedure-attending physician information.
  • Participate in the hospital’s trauma registry.
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