Inpatient Coder - Remote - United States
JOB SUMMARY
Responsible for assigning diagnostic and procedural codes to inpatient charts 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.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
- Coding: Reviews medical records for the determination of accurate code assignment of all documented diagnoses and procedures in accordance with Official Coding Guidelines. Adheres to Standards of Ethical Coding (AHIMA).
- Abstracting: Reviews medical records to determine accurate required abstracting elements (facility/client specific elements) including appropriate discharge disposition.
- Coding Quality: Demonstrates consistency in achieving or exceeding 95.5% coding accuracy in the selection of principal and secondary diagnoses ((including DRG, MCC & CC, SOI/ROM)) and procedures. Demonstrates accuracy and consistency in abstracting elements defined by per facility.
- Coder Productivity: Meets and/or exceeds Conifer’s inpatient coding productivity guidelines
- Physician Queries: Demonstrates strong skills in creating appropriate and compliant physician retrospective coding queries.
- Professional Development: Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-10-CM and ICD-10-PCS coding. Completes mandatory coding education as assigned. Quarterly review of AHA Coding Clinic. Attends all required coding operations conference calls.
- DNFB: Reviews held accounts daily for resolution in support of coding DNFB performance. Communicates barriers to leaders ( physician queries, missing documentation, second level review, DRG reconciliation, etc.) for appropriate follow-up and resolution.
KNOWLEDGE, SKILLS, ABILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability …
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Regions Countries Benefits/Perks401k with up to 6% employer match Competitive benefits package Employee Assistance Program Health Savings Accounts Life Insurance Paid holidays Paid Time Off Voluntary benefits
SkillsAHIMA compliant physician queries APR-DRG Coding Computer Healthcare industry expertise ICD-10-CM ICD-10-PCS Leadership Medical Records MS-DRG Technical Training
Tasks- Abstract clinical information
- Assign diagnostic and procedural codes
- Create physician queries
- Ensure coding accuracy
- Review medical records
- Stay current with coding guidelines
1-3 years
EducationAssociate degree Bachelor's Bachelor’s Degree in Health Information Business High school graduate Nursing or related field
Certifications RestrictionsPosition may be eligible for a signing bonus for qualified new hires Vaccination and screening requirements
TimezonesAmerica/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9