Inpatient Coder - REMOTE

POSITION SUMMARY:

Responsible for assigning diagnostic and procedural codes to patient charts of moderate to high complexity using ICD-10-CM and ICD-10-PCS or any other designated coding classification system in accordance with coding rules and regulations. Abides by the Standards of Ethical Coding as set forth by AHIMA. Abstracting required clinical information from the medical record.

KEY RESPONSIBILITIES:

Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Adheres to Standards of Ethical Coding (AHIMA).
Reviews medical records to determine accurate required abstracting elements including appropriate discharge disposition.
Demonstrates ability to achieve 95% or higher accuracy and consistency in the selection of principal and secondary diagnoses and procedures.
Knowledge of MS-DRG and APR DRG classification and reimbursement structures
Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-10-CM and ICD-10-PCS coding.
Attends mandatory coding seminars on annual basis for inpatient coding. Quarterly review of AHA Coding Clinic. Attends Quarterly Coding Updates and all coding conference calls
Communicates and resolves coding issues (lacking documentation, physician queries, missing documentation, second level review, DRG reconciliation, etc.) for appropriate follow-up and resolution
Candidate must display a superior knowledge of Coding Guidelines (Coding Clinic, UHDDS Official Coding Guidelines, CCI Edits).
Comprehensive understanding of CCs/MCCs, impact on quality reporting, UHDDS guidelines, HACs and PSIs
Analytical Skills that include effective evaluation, synthesis and use of information gathered
Works collaboratively with CDI, Quality, and other facility(ies) leadership
Experience with compliant physician querying writing
Candidate must be self-motivated, display a high level of computer literacy, excellent verbal, and written communication skills, able to meet assigned deadlines, and organized
The position will report to the HIM Inpatient Coding Manager
Ability to meet coding productivity standards

REQUIRED KNOWLEDGE & SKILLS:

One to three years experience performing medical record coding in acute care setting required
High school graduate or equivalent is required.
Associate of bachelors degree in Health Information, Nursing, or other related field, or formal coding classes completed and passed preferred. Years of coding experience will be considered in lieu of education requirements.
Meditech experience preferred. Functional Knowledge of EMR (Electronic Medical Record), Encoder and CDI Tools and other Support Software
Microsoft Office (Word, One Note, Excel, Outlook, PowerPoint)
Excellent verbal and written communication skills
Ability to meet assigned deadlines.

EDUCATION/EXPERIENCE/LICENSURE/TECHNICAL/OTHER:
I. Education: RHIT or RHIA preferred
II. Experience: 1 - 3 year of Acute Inpatient Coding Experience
III. Certification/Licensure: AHIMA or AAPC approved credential
IV. Software/Hardware: 3M experience required
V. Other: Remote position