Inpatient Medical Coder

About the role

Health Partners Management Group, Inc (HPMG) is a government contracting company in Poplar Bluff, Missouri. HPMG currently bidding on a contract with the Federal Government for several coding positions. You would be a W-2 employee for HPMG and NOT a government employee.

Responsible for assignment of accurate ICD codes for diagnoses and procedures. Medical Severity - Diagnostic Related Group (MS-DRG) is automatically assigned by the grouper software) for inpatient stays. Inpatient coders may also be responsible for the assignment of accurate ICD diagnoses, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), modifiers, and quantities from medical record documentation (paper or electronic) for inpatient professional services (a.k.a., rounds or IBWA encounters). Trains and educates MTF staff on coding issues and plays a significant role in coding compliance activities.

Responsibilities

• Accurately assigns diagnosis and procedure codes for inpatient facility and professional services to include, but not limited to; inpatient stays, surgical procedures, dental surgical procedures, anesthesia services, ancillary services, and inpatient external resource sharing agreement (ERSA) encounters IAW DHA accuracy, completeness, productivity, and timeliness standards IAW DoDI 6040.42.
• Work may involve areas such as Laboratory, Radiology, and Dental services.
• Ensures correct assignment of DRGs for inpatient stays.
• Codes inpatient discharge records with correct and optimal DRG assignment, Relative Weighted Product (RWP) and Relative Value Units (RVUs) in order for the Center to receive correct reimbursement or workload credit.
• Performs necessary tasks within MHS GENESIS® and other military coding systems (to include, but not limited to, 3M Encompass 360, Joint Legacy Viewer (JLV)) to complete encounters.
• May be tasked with assisting with ambulatory and outpatient coding.
• Researches and resolves coding edit failures as assigned.
• Applies ICD codes for diagnoses and procedures (Diagnostic Related Group is automatically assigned by the grouper software) for inpatient stays.
• Identifies and extracts information from medical records (paper or electronic) for special studies and audits, internal and external.
• Interacts with MTF staff to ensure documentation is clear and supports coding assignments.
• Educates MTF staff through individual or group in-services and training sessions.
• Maintains a delinquency report of missing documentation for inpatient records in order to facilitate completion of work within the required thresholds.
• Ensures all required component parts of the inpatient medical record that pertain to coding are present, accurate and compiled with DoD and accreditation requirements.
• Responsible for assignment of accurate E&M, ICD, CPT, and HCPCS codes and modifiers as documented by the attending physician’s IBWA/rounds encounter during the patient hospital stay.
• Maintains a delinquency report and monitor lost IBWA/rounds records for reporting to MTF management.
• Adheres to accepted coding DHA and industry guidelines and conventions when choosing the most appropriate diagnosis, operation, procedure, ancillary