• Review clinical documentation to assign and sequence diagnostic and procedural codes • Validate MS-DRG calculations to accurately capture the diagnoses and procedures documented in the clinical record. • Perform documentation review and assessment for accurate abstracting of clinical data • Interact with client staff and providers as needed • Participate in continuing education activities to enhance knowledge, skills, and maintain current credentials.

• Assigns appropriate codes to reflect all diagnoses and procedures extrapolated from physician and appropriate nursing documentation during a patient encounter according to the most current coding methodologies, including ICD-10-CM/PCS, resulting in appropriate reimbursement. • Abstracts required data to input into the Medical Center's computerized data base. • Converts all patient visits and encounters into appropriate DRG (Diagnosis Related Group) assignments in order to correctly submit the optimal reimbursement for each patient encounter coded. • Assists the IP Coding Manager in administrative duties such as assignment of coding work, analysis of the unbilled report, and other duties as assigned. • Maintains coding accuracy rate of 95% or better. • Maintains productivity standards set forth in Departmental Policies and procedures. • Reviews patient medical records and abstracts medical data that identifies all diagnoses and procedures. • Codes diagnoses, procedures, and appropriate modifiers from the medical record documentation using ICD-10-CM/PCS classification systems. • Enters coded/abstracted information in grouper, analyzes groupings, and assigns the appropriate grouper for appropriate and accurate reimbursement. • Utilizes hospital’s behavioral standards as the basis for decision making and to facilitate the hospital’s goals and mission.

Role Description We are partnering with a leading regional health system to bring on Professional Fee Medical Coders for a fully remote contract opportunity supporting a variety of hospitalist, surgical, and outpatient clinic specialties. - Role: Professional Fee Medical Coder - Location: 100% Remote - Contract Length: 6 months with extensions/renewals - Start Date: Mid-June target What You'll Be Doing: - Perform professional fee coding across a variety of specialties including: - Hospitalist - Surgery - Outpatient Clinic - Additional specialty areas as needed - Ensure accurate and timely coding in accordance with organizational and regulatory standards - Support multiple coding workstreams and record types - Maintain strong coding quality in a QA-monitored environment - Collaborate effectively within a fully remote coding team Qualifications - 3+ years of Professional Fee coding experience - Experience supporting multiple profee specialties preferred - Strong background in hospitalist, surgical, and/or outpatient clinic coding - Ability to work across multiple coding areas rather than a highly siloed specialty - Strong understanding of coding compliance and documentation standards - Preferred: - Experience in larger health systems or high-volume environments - CPC, CCS-P, RHIT, and/or RHIA credentials preferred Requirements - Epic experience preferred - Experience with remote coding environments and QA workflows Performance Expectations - Accuracy: 95%+ - OP Clinic productivity target: ~15-20 encounters/hr - Productivity expectations for hospitalist/surgical coding are specialty-dependent

Role Description The Hospital Inpatient Coder VI Specialist analyzes the ICD 10 codes, suggested by computer assisted coding software, to ensure they align with official coding guidelines and the electronic medical record documentation. In collaboration with the Clinical Documentation Specialist, analyzes the circumstances of the visit to determine the most accurate diagnosis related group (DRG). This position also abstracts key data elements necessary for billing and data analysis. - Schedule: Monday - Friday - Day Shift - Remote - Must reside in an approved hiring state. - Accurately review and code patient records in the following clinical areas: hospital acute inpatient services. - Meet defined coding accuracy and production standards and demonstrate a thorough knowledge of coding guidelines, medical terminology, anatomy/physiology, reimbursement schemes, and Payor specific guidelines. - Review and analyze the content of medical records to appropriately assign ICD diagnosis procedure codes, CPT procedure codes, and modifiers to meet coding guidelines. - Notify coding leadership of trends and topics for education and feedback to physicians and departments. - Identify and enter data elements for abstracting. - Participate actively in performance improvement teams, projects, and committees. - Serve as a Superuser and assist with system testing. - Serve as a backup to coding reimbursement specialist. Qualifications - High School Diploma/GED - Required - Associate's degree - Preferred - 2 years Coding - Required - CCS, Certified Coding Specialist from American Health Information Management Association (AHIMA) - Required - RHIT, Registered Health Information Technician from American Health Information Management Association (AHIMA) - Preferred - RHIA, Registered Health Information Administrator from American Health Information Management Association (AHIMA) - Preferred Requirements - Travel is required: Never or Rarely - Job Range: Coder VI Specialist - Hospital Inpatient $22.70-$33.77 - Incentive: Not Applicable Benefits Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.