Inpatient Coder

Job Title : Inpatient Coder

Client : Large Healthcare Client

100% Remote : MUST LIVE IN - IL, IN, IA, or WI

Direct Placement!

Start Date : ASAP

Hours : M-F, 40 hours per week

The Inpatient Coder must possess knowledge and technical expertise of ICD-10-CM / PCS diagnosis and procedure coding. Understands coding conventions / instructions, Official Guidelines for Coding and Reporting and Coding Clinics.

Has a good understanding of disease process, anatomy / physiology, pharmacology and medical terminology. Understands APR and MS-DRG reimbursement methodology for acute care coding.

For inpatient rehabilitation coding, must possess knowledge and technical expertise of ICD-10-CM diagnosis coding. Must possess a blended understanding of the Official Guidelines for Coding and Reporting, and guidelines specific to Inpatient Rehab Facilities.

Must understand IRF-PAI (Inpatient Rehabilitation Facility Patient Assessment Instrument) guidelines as it relates to coding.

Must have a working knowledge of the IGC (Impairment Group Codes) and RIC (Rehabilitation Impairment Categories) as it relates to the primary diagnosis selection and claim reimbursement.

Responsibilities

Performs a review of medical record documentation within CAC (computer assisted coding) or Epic to identify the appropriate principal / primary diagnosis, CC / MCC / tier, (co-morbidity / complication, major co-morbidity / complication, tier 1, 2, 3) as these diagnoses impact reimbursement.

Also, identify other secondary diagnoses and all appropriate procedures.

• Navigates Epic’s Doc Review, Hospital Chart or Chart Review outside of CAC when necessary.
• Utilizes 3M’s encoder resources to ensure optimal coding accuracy.
• Optimizes CAC to ensure coding efficiency.
• Collaborates occasionally with Clinical Documentation Specialists when there is a diagnosis or DRG mismatch or query opportunity to ensure clarity and accuracy of medical record documentation.
• Articulates rationale for coding selections when necessary, i.e. data quality audit.
• Maintains diagnosis, procedure, DRG and overall accuracy within department standard of 95% or better.
• Maintains productivity standard within department standard of 90% or better.

Required :

• 1-3 years of inpatient coding experience in an acute healthcare setting
• RHIA, RHIT or CCS credential
• AHIMA membership

Preferred :

• Associate Degree in related field.
• 1-3 years of inpatient coding experience in an acute healthcare setting that includes a teaching hospital.
11 days ago