Inpatient Coding Specialist (Coder III) - Fully Remote

Job Description

• Verifies and abstracts clinical and demographic data from the patient record.
• Performs chart audits prior to coding to ensure required documentation is complete and signed.
• Queries appropriate providers or departments when deficiencies prevent the start of the coding process.
• Sets accurately ICD-10 CM and ICD-10 PCS codes, derived from medical record documentation for patient account.
• Reviews reports with leadership to identify discrepancies.
• Reviews audit lists regarding coding/billing changes, as well as denial reports.
• Identifies and evaluates coding issues, summarizes findings for leadership, makes recommendations for course of action.
• Works actively with physicians to initiate corrections and resolve discrepancies in coding and documentation.
• Ensures that all accounts are submitted accurately and in a timely manner.
• Works collaboratively with Compliance, Educators, and Auditors
• Ensures that all medical records are coded and abstracted within 72 hours of patient discharge.
• Responsible to follow-up on assigned discharges for final coding.
• Affords answers to coding questions from interdepartmental staff.
• Documents results of all special project work and provides recommendations relating to special projects.
• Attends meetings as necessary and participates on projects to ensure that all services are captured through codes.
• Maintains good relationship with providers and office personnel to facilitate good communication in coding queries.
• Promotes excellent customer service.
• Identifies and communicates problems and/or opportunities to improve processes with management.
• Maintains collaborative, team relationships with peers and colleagues in order to effectively contribute to the working groups achievement of goals, and to help foster a positive work environment.
• Participates in coding audits coding staff in order to maintain quality standards and offer feedback to management.
• Works closely with the DRG Validator to maintain high coding standards.

Qualifications

• High school diploma or equivalent.
• Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC), Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT).
• Three (3) years of ICD-10-CM and PCS coding experience.
• EMR experience.
• Associates degree.
• Five (5) years of Inpatient ICD-10-CM and PCS coding experience within a Teaching hospital or Level One Trauma Center.
• Epic and CAC Experience.