• Evaluate medical records and provide clinical and surgical abstraction • Accurately code diagnostic and procedural information • Consult with medical providers for record clarification • Ensure compliance with coding rules and regulations • Compile reports and tabulate data from medical records • Identify validation edits and ensure accurate coding • Work independently under regular supervision

How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Work Shift Various (United States of America) Job Summary: The IP Coder 3 position reports directly to the Supervisor of Coding. Key responsibilities of the role include: Reviewing documentation in inpatient and/or IVR (interventional radiology) medical records, and accurately and completely assigning appropriate ICD-10-CM diagnostic and ICD-10-PCS/CPT-4 HCPCS procedural codes to the greatest specificity, assigning the most accurate DRG/APC, when appropriate. Abstracts demographic and coding information accurately and completely. Core Responsibilities and Essential Functions: Codes and abstracts medical records with a minimum of accuracy: * Accurately and completely assigns appropriate ICD-10-CM diagnostic and ICD-10-PCS/CPT-4 HCPCS procedural codes to the greatest specificity, assigning the most accurate DRG/APC, when appropriate and in accordance with Official Guidelines for Coding and Reporting and Facility Coding Guidelines, as applicable * Accurately and completely abstracts all required patient demographic data into the EMR * Accurately assigns correct DRG/APC * Meets productivity standards * Queries providers, if needed to further clarify code Manages additional coding responsibilities, contributing to the CFB (candidate for bill) goals, including but not limited to: * Resolves coding edits and reminders, correcting abstracting and coding issues in a timely manner (1-2 business days) * Completes and routes problem accounts, ready to code, high dollar and other accounts daily to ensure cases are coded as close to goal date as possible * Completes assigned work by goal date * Assists with coding unassigned or backlogged accounts Other task as assigned: * Serves as a mentor to new coders * Assist with cleaning up or escalating missing documentation or other work queues * If proficient, assists with observation, same day surgery, outpatient and emergency coding when needed or assigned * Other tasks as assigned Performs other duties as assigned Complies with all Wellstar Health System policies, standards of work, and code of conduct. Required Minimum Education: - High School Diploma Other or GED Other or Other / Certificate Anatomy Required Minimum License(s) and Certification(s): All certifications are required upon hire unless otherwise stated. - Cert Coding Spec-Preferred - Cert Prof Coder-Preferred - Cert Prof Coder - Hospital OP-Preferred - Reg Health Information Admin-Preferred - Reg Health Information Tech-Preferred Additional License(s) and Certification(s): Upon Hire Preferred Required Minimum Experience: Minimum 3 years of acute care inpatient and/or IVR coding experience. Required Required Minimum Skills: Must have demonstrated maintenance of a or higher accuracy in abstracting, code and DRG assignment while meeting productivity requirements in previous roles. Ability to work in a remote environment. Computer/data entry experience. Ability to communicate with various members of the healthcare team. Ability to use Microsoft (Excel, Word). Join us and discover the support to do more meaningful work—and enjoy a more rewarding life. Connect with the most integrated health system in Georgia, and start a future that gives you more.

Job Summary Reports to the Coding Manager. Responsible for reviewing outpatient clinical documentation to extract data and assign appropriate ICD-10-CM, CPT, and HCPCS codes in accordance with the ICD-10-CM Official Guidelines for Coding and Reporting and AHA Coding Clinic guidance. Ensures medical record documentation supports all assigned codes and resolves coding-related claim edits using 3M™ 360 Finder (e.g., CCI, NCD, OCE). The role supports timely coding and billing processes by monitoring outpatient uncoded reports, maintaining required productivity and accuracy standards, and collaborating with physicians and internal partners as needed. Brown University Health employees are expected to role model the organization’s values of Compassion, Accountability, Respect, and Excellence, which guide everyday interactions with patients, customers, and colleagues. Employees are also expected to demonstrate the organization’s Core Success Factors, including: - Instilling trust and valuing differences - Patient and community focus - Collaboration Responsibilities - Reviews and enters coded/abstracted outpatient encounter information into 3M™ 360 Finder, assigning accurate APCs and resolving all coding edits. - Applies National Correct Coding Initiative (NCCI) edits and medical necessity requirements. - Resolves accounts within the claims edit database and assigns injection and infusion codes for observation patients. - Meets or exceeds established productivity standards while maintaining a minimum coding accuracy rate of 95%. - Assigns E/M, ICD-10-CM, CPT, and chargemaster codes for outpatient clinic visits, ensuring documentation supports all code assignments. - Reviews provider-entered diagnosis and procedure codes for accuracy and documentation support. - Utilizes 3M™ tools to identify and resolve NCCI edits prior to final billing. - Identifies and reports documentation deficiencies to the responsible physician. - Follows Rhode Island Hospital Facility Coding Guidelines for adult patients and the 1995 Evaluation and Management Guidelines for patients under 18. - Monitors and resolves rejected accounts from Claims Edit Reports and eClinicalWorks error reports within established timeframes. - Researches and resolves coding conflicts related to chargemaster issues, medical necessity, and other billing discrepancies. - Escalates complex coding issues to a coding validator or supervisor as appropriate. - Reviews outpatient uncoded reports and resolves aged or inappropriate charges. - Updates patient financial records in Patient Management and Patient Accounting systems and follows established rebilling procedures. - Performs related clerical duties as required. - Maintains current knowledge and expertise relevant to outpatient coding practices and regulatory requirements. Minimum Qualifications Education & Knowledge - High school diploma or equivalent required. - Successful completion of a formal coding education program. - Ability to read and interpret outpatient medical record documentation involving clinic services, ancillary services, and endoscopy procedures. - Active coding certification required (AHIMA or AAPC). Experience - One to two years of outpatient coding or billing experience required. - Demonstrated ability to meet and maintain productivity and quality standards. Working Conditions - Prolonged periods of sitting while reviewing medical records. - Must be able to lift up to 25 pounds, bend, stoop, stretch, and use step stools for filing. - Ability to work under stressful conditions to meet accounts receivable, productivity, and accuracy expectations. Independent Action - Performs duties independently within established departmental policies and procedures. - Refers complex issues or policy clarifications to the supervisor as needed. Supervisory Responsibility - None Pay Range: EEO Statement: Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment. Location: Corporate Headquarters - 15 LaSalle Square Providence, Rhode Island 02903Work Type: M-F 8:00am-4:30pmWork Shift: DayDaily Hours: 8 hoursDriving Required: No

• Reviewing documents to identify all procedures and diagnoses • Ensuring encounters are coded correctly based on documents received • Assigning appropriate ICD-10-CM and CPT codes and modifiers according to documentation • Performing ongoing analysis of medical record documentation • Documenting coding errors • Assisting coding management • Providing feedback to coders on coding discrepancies/deficiencies