Inpatient Medical Coder

Coronis Health Philippines; Philippines; On-site; PHP 350,000 - 550,000; Full time

Job summary

Coronis Health Philippines seeks a skilled Medical Coder to assign ICD-10-CM/PCS and CPT codes for inpatient and outpatient records, providing accurate billing and statistical data according to CMS and state guidelines.

Under the supervision of the Operations Manager, you will review provider documentation, code to specification, and maintain confidentiality while meeting quality and productivity targets.

Qualifications

• Bachelor’s Degree in Medical Records or Allied Medical Field, or equivalent relevant clinical work experience.
• Minimum of three (3) years inpatient hard coding experience.
• Six months live accounts with a client.
• Certification requirements depend on client: AAPC CPC/CIC; AHIMA CCS-P/CCS.

Responsibilities

• Abstracts, codes, and sequences inpatient and day surgeries.
• Reviews documentation to determine principal diagnosis and comorbidities.
• Assigns POA values for inpatient diagnoses and selects accurate CPT/ICD-10-CM/PCS/HCPCS codes.
• Writes compliant queries to improve documentation and coding.
• Enters codes into the encoder/abstracting system and reports productivity.
• Maintains confidentiality of patient records and adheres to coding guidelines.

Skills

ICD-10-CM coding

CPT coding

DRG coding

Education

Bachelor’s Degree in Medical Records or Allied Medical Field

Job description

At Coronis Health, we specialize in revenue cycle management (RCM) with a focus on simplifying complexities for healthcare providers to enable them to deliver exceptional patient care. We offer tailored solutions for billing optimization, claims management, and actionable insights to support growth and scalability for each unique practice. Coronis Health is trusted by thousands of healthcare organizations nationwide for managing medical billing and RCM operations. Our commitment to technology, security, and innovation drives our mission to achieve financial health, operational excellence, and strategic success for our clients.

JOB SUMMARY

Under the general supervision of the Operations Manager, the Coder assigns diagnosis and procedure codes to patient medical records and enters coding and abstracting patient data into the facility computer system. Generally, performs coding on all types of cases. Position can be specialized to code inpatient, outpatient, or physician/ professional coding, but must be able to code all patient types depending on business requirements. Appropriately code for International Classification of Diseases 10th Revision–Clinical Modification (ICD-10-CM)/diagnosis, and Procedure Codes such as Current Procedural Terminology (CPT), International Classification of Diseases 10th Revision–Procedure Coding System (ICD-10-PCS), or Healthcare Common Procedure Coding System (HCPCS), related to a patient’s admission in order to provide billing and statistical information. The work of this position is guided by defined policies, guidelines, and established practices and precedents. The method of chart analysis normally required to solve problems or make decisions is to collect, compile, and organize facts, figures and/or other information in accordance with established procedures or as directed by facility policy. This position is responsible to adhere to all federal guidelines as set forth by CMS and State guidelines, and as per coding rules and guidelines set in the AHA Coding Clinics. The Medical Coder must be able to meet a minimum of 95% quality and productivity target set by the organization or by the client.

ESSENTIAL DUTIES AND RESPONSIBILITIES

1. Abstracts, codes, and sequences the classification of medical and surgical procedures, diagnosis, and treatment modalities on Inpatient and Day Surgeries.
2. Reviews appropriate provider documentation to determine principal diagnosis, co-morbidities and complications, secondary conditions, and surgical procedures.
3. Selects the latest, most accurate and descriptive codes per specialty:
   • ii. Assigns Present on Admission (POA) value for inpatient diagnoses as a supplement for ICD-10-CM coding.
   • iii. Assigns correct Principal Diagnosis, Secondary Diagnosis especially that are Comorbid Complication (CC) and/or Major Comorbid Complication (MCC)
   • iv. Assigns correct Diagnosis-Related Grouping (DRG) and perform coding compliance reviews. Follow official coding guidelines to review and analyze health records.
4. Writes a compliant query to the provider for documentation and coding improvement.
5. Enters codes into computer system, extract required information from source documentation and enter data into encoder and abstracting system.
6. Reports to their supervisor their productivity status and daily issues.
7. Identifies and reports areas of concern with respect to improper coding and documentation.
8. Maintains confidentiality of patient records at all times.

JOB QUALIFICATIONS

Education or equivalency:

• Bachelor’s Degree in Medical Records or Allied Medical Field, or education courses and equivalent relevant clinical work experience.

Experience:

• Requires a minimum of three (3) years inpatient hard coding experience, six months which were live accounts with a client.

Certification is dependent on client requirement.

Certification/licensure:

• o AAPC Coding Certification: CPC, CIC
• o AHIMA Coding Certification: CCA, CCS-P, CCS