Inpatient Coder - Coding and Documentation
Location
United States
Posted
2 days ago
Salary
0
Seniority
Mid Level
No structured requirement data.
Job Description
Inpatient Coder - Coding and Documentation
Health First Careers
Role Description To be fully engaged in providing timely, complete, and accurate code assignment and data collection for quality clinical analysis and revenue enhancement. - Uphold regulatory compliance by assigning and sequencing accurate ICD 10 codes to inpatient medical records as per coding guidelines. - Validate the accuracy of codes assigned by the computer assisted coding software. - Literacy and proficiency in computer technology related to health information and coding applications are essential. - Interpret clinical documentation to ensure codes reported are clearly and consistently supported by the health record. - Examine and ensure compatibility of MS-DRG, APR-DRG, SOI, and ROM of each inpatient encounter. - Request clarification from the provider when there is conflicting, incomplete, or incorrect information in the health record. - Abstract relevant information accurately and completely into the computer assisted coding application. - Confirm the admission status ordered by the physician and the registration status of the encounter are compatible. - Communicate professionally identified discrepancies, documentation issues, denial management issues, and coding concerns. - Stay up to date with regulatory changes by completing all mandatory educational accountabilities in a timely manner. - Maintain coding quality and productivity as per departmental standards. - Attend department meetings and other inpatient coding sessions as scheduled. - Accurate and ethical time and attendance recording. - Provide departmental coding coverage by cooperating with occasional schedule revisions and overtime requests. - Maintain and observe patient confidentiality as outlined in the National Patient Safety Goals and HIPAA guidelines. Qualifications - High School Diploma - 4 Years Inpatient Coding Experience - AHIMA or AAPC Inpatient Coding Certification - 8 Years Inpatient Coding Experience in lieu of Certification - Competent in understanding medical terminology. - Advanced understanding of anatomy and physiology. - Utilize critical thinking skills and formulate logical decisions. - Strong written and oral communication skills. - Excellent computer and telephone skills. - Detail and accuracy oriented. - Ability to coordinate and use logical reasoning. - Ability to work independently maintaining focus on scope of work assigned. Requirements - 6 Years Inpatient Coding Experience (Preferred) Physical Requirements - Majority of time involves sitting or standing; occasional walking, bending, and stooping. - Long periods of computer time or at workstation. - Light work that may include lifting or moving objects up to 20 pounds. - May be exposed to inside environments with varied temperatures, air quality, lighting, and/or low to moderate noise. - Communicating with others to exchange information. - Visual acuity and hand-eye coordination to perform tasks. - Workspace may vary from open to confined, onsite, or remote. - May require travel to various facilities within and beyond county perimeter; may require use of personal vehicle. Benefits - Full-Time Schedule - Variable Shift Times - Paygrade: 34
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