Inpatient Pediatric Medical Coder

Guidehouse•Atlanta, GA

23h•$59,000 - $98,000•Remote

About The Position

The Inpatient Pediatric Medical Coder will review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10 and CPT Diagnosis codes, as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance. Under the direction of the coding manager—the coder should accurately code conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting, CMS and any other official coding guidelines established for use with mandated standard code sets. This position is full-time and 100% remote.

Requirements

High School Diploma/GED or equivalent
5+ years of ICD-10-CM and ICD-10 PCS inpatient coding experience
1 year of pediatric in-patient coding
Must hold one of the following credentials: RHIA, RHIT, CCS, CIC, or CPC

Nice To Haves

Epic Experience
Excellent communication skills
Personal responsibility, respect for self and others, innovation through teamwork, dedication to caring and excellence in customer service

Responsibilities

Perform quality hospital coding on Inpatient pediatric accounts including Medicare/NonMedicare, Surgical, Medical, Cardiac, moms/babies, and trauma cases.
Maintain a working knowledge of ICD-10 PCS, governmental regulations, official coding guidelines, and third-party requirements regarding documentation and billing.
Assure that all services documented in the patient’s chart are coded with appropriate ICD-10/PCS codes. When services/diagnoses are not documented appropriately, seek to attain proper documentation in a timely manner according to facility standards.
Achieve and maintain 95% accuracy in coding while maintaining a high level of productivity.
Maintain average productivity standards of 2 IP charts per hour.
Follow facility specific policies and procedures.
Work pending queues daily.
Work GuideAudit review queue daily to ensure all charts in the review queue are worked and any corrections are communicated to the facility.
Query physicians whenever there is conflicting, ambiguous, or incomplete information in the medical record regarding any significant reportable condition or procedure.
Follow facility query policy and CDI reconciliation process.
Correct charts that require re-bills and communicate them to the facility daily for the re-bill process.
Report coder downtime immediately to the administrative staff to ensure turnaround is met.
Work directly with the IQC staff to ensure quality standards are being met for each facility.
Provide accurate answers to physician’s/hospitals coding and/or billing questions within eight hours of request.
Code or pending every chart placed in their queue within 24 hours.
Notify administrative staff in the event they cannot meet the twenty-four hour turn around standard.
Work well with other members of the facilities coding and billing team to insure maximum efficiency and reimbursement for properly documented services.
Communicate problems or coding principle discrepancies to their supervisor immediately.
Ensure all communication in emails is professional.
Clock in and out of ADP during work shift and enter billing hours into People Soft to ensure all employee hours are correct and ensure the correct task codes have been used.
Collaborate closely with client IT departments and Guidehouse IT to resolve system issues.
Review and update Client Portal, and use the information contained on the Portal as a daily tool to correctly code and abstract for each facility.
Check email system at least every two hours during work hours.
Maintain current professional credentials.
Maintain a working knowledge of all Coding Clinic Guidelines.
Complete CE education provided by Guidehouse and turn in certificates timely.
Maintain HIPAA compliant workstations.
Maintain patient privacy always.
Abide by all client policies and procedures.
Abide by all Guidehouse policies and procedures.

Benefits

Medical, Rx, Dental & Vision Insurance
Personal and Family Sick Time & Company Paid Holidays
Position may be eligible for a discretionary variable incentive bonus
Parental Leave
401(k) Retirement Plan
Basic Life & Supplemental Life
Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
Short-Term & Long-Term Disability
Tuition Reimbursement, Personal Development & Learning Opportunities
Skills Development & Certifications
Employee Referral Program
Corporate Sponsored Events & Community Outreach
Emergency Back-Up Childcare Program