Sr. Inpatient Coder- Full time, Days (Remote)

Responsibilities

• Assigns diagnosis and procedure codes.
• Verifies accuracy of DRG.
• Accurately abstracts required information.
• Initiates provider coding queries in compliance with coding guidelines and policies where appropriate.
• Maintains productivity standard of 2 charts per hour or higher.
• Maintains coding accuracy of 95% or higher.
• Verifies and assigns discharge status codes.
• Ensures presence of a completed Medicaid certification prior to finalizing coding.
• Appropriately assigns the Hospital Acquired condition (HAC) and Present on Admission(POA) indicator for each diagnosis.
• Communicate with Clinical Documentation Integrity (CDI) Specialist via email, phone, or other methods regarding accounts.
• Participates in team, organization and educational meetings.
• Maintains and continually enhances coding competency, through participation in educational programs, reading official coding publications such as the American Hospital Association’s (AHA) Coding Clinic for ICD-10-CM/PCS, AHA Coding Clinic for HCPCS, AMA CPT Assistant) to stay abreast of changes in codes, coding guidelines, regulatory and other requirements.
• Maintains coding credential(s) by completing continuing education requirements of credits per year.
• Assist in achieving department goals of Accounts Receivable days in regard to Discharged Not Final Billed (DNFB)

Qualifications

• High School Diploma or equivalent.
• One or more of the following certifications required: RHIA, RHIT, CCS or CCA.
• Minimum of 2 years acute care inpatient coding experience required.
• Experience in coding across multiple specialties within a hospital coding environment and remote coding experience preferred.
• Demonstrated proficiency in ICD-10-CM and ICD-10-PCS by passing coding competency assessment administered before hire.
• Demonstrated proficiency in medical terminology, anatomy and physiology, and disease process by passing coding competency assessment administered before hire.
• Good working knowledge of Inpatient Prospective Payment System (RPPS), Diagnosis Related Group (DRG) methodologies, Severity of Illness (SOI), and Risk of Mortality (ROM).