Summary
The job is for a remote Inpatient Coder responsible for assigning diagnostic/procedural codes to patient charts according to coding rules and regulations. They will respond to audits and provide consultation on specific projects.
Requirements
- Licenses/Certifications; CCS, RHIT, RHIA preferred
- Must have a minimum of 3-5 years Acute Care Hospital experience
- Experience with IP/OP edits
- Experience with complex case mixes
- Extensive knowledge of ICD-10 CM/PCS coding principles and guidelines, DRG Assignment, MCC/CC capture, federal, state and payor-specific regulations and policies pertaining to documentation, coding and billing
- EHR systems, encoder and other support software - 3M 360, & Cerner
- Understands medical terminology, anatomy, physiology, surgical technology, pharmacology and disease processes
- A high-level coding accuracy, critical thinking skills and attention to detail
- Strong interpersonal communication skills, both verbal and written
- Strong knowledge of Microsoft Word, Excel, PowerPoint and Outlook
Responsibilities
- Assign ICD10 CM Diagnosis Codes and ICD 10 PCS Procedure Codes for assigned accounts
- IP/OP edits
- Select and sequence principal and secondary diagnosis and procedure codes
- Assign appropriate DRG
- Review the medical record and all applicable documentation to determine the appropriate codes to assign for the services and diagnoses
- Demonstrates ability to achieve accuracy and consistency in abstracting elements defined by per facility
- Maintain productivity standards, tracking and deadlines
- Maintain and complete accurate productivity and tracking logs
- May act as a mentor to training coders and/or new hires by providing education and training
