Inpatient coder Jobs in Charlotte, NC

SEEKING FOR REMOTE INPATIENT CODER!

Performs technical and administrative work reviewing, abstracting and assigning accepted medical codes for inpatient (Hospital Billing -Health Information Management) diagnoses, procedures and services. Duties are performed in compliance with third party, state and federal regulations according to standardized procedures.

Description of Job Responsibilities :

• Assigns International Classification of Diseases 10-CM diagnostic and ICD-10-PCS procedural codes accurately and productively and other applicable codes such as MS-DRG on inpatient cases for all entities within the Health Care system including Academic Medical Center cases.
• Groups codes and completed product into payment group.
• Assigns codes that affect Severity of Illness and Risk of Mortality and Hierarchal Condition Categories (HCCs).
• Participates in DRG Reconciliation with Clinical Documentation Specialist (CDS).
• Queries providers when documentation is conflicting, needs clarification and specificity.
• Analyzes information for optimal and proper reimbursement.
• Ensures compliance with all appropriate coding, billing and data collection regulations and procedures.
• Provides information to physicians and other health care staff regarding current coding practices and changes in 3rd party, state and federal regulations and guidelines.
• Reviews, analyzes and abstracts physician / other documentation for diagnoses, procedures, discharge disposition and other services provided.
• Obtains missing information and / or to clarifies existing information.
• Accepts feedback from PWC Smart reviews and makes edits as needed to avoid future errors.
• Reviews and processes PWC SMART edits.
• Researches appropriate databases for validation of information.
• Utilizes a variety of software (e.g. Epic, Optum CAC, MS Office, etc.) to compile and validate medical information.

QUALIFICATIONS :