Coder 4

DaMar Staffing; Minnesota; On-site; USD 70,000 - 100,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life insurance

Disability insurance

PTO and Sick time

Tuition reimbursement

Retirement plan

Early access to earned wages

More!

Job summary

DaMar Staffing is seeking an experienced Coder 4 for inpatient coding. You will assign ICD-10-CM/PCS codes, abstract clinical data, and support documentation queries to ensure accurate reimbursement and quality reporting.

The role involves collaborating with physicians and the CDI team, maintaining regulatory knowledge, and contributing to improvements in the revenue cycle’s coding processes.

Qualifications

• Certificate or AS in HIM required.
• Minimum of 3 years inpatient coding experience.
• RHIA/RHIT/CCS/CIC or CIC certification preferred.
• Bachelor of Science in HIM preferred.

Responsibilities

• Code and abstract inpatient data using ICD-10-CM/PCS per guidelines.
• Query providers to clarify documentation when needed.
• Ensure accurate POA and HAC reporting.
• Collaborate with CDI to resolve documentation issues.
• Maintain knowledge of relevant laws and regulations.

Skills

3 years of coding experience

Windows-based software knowledge

CEU tracking

Education

Certificate program in Coding or AS in HIM

Bachelor of Science in HIM

Tools

Windows-based software

Job description

Coder 4 Inpatient Coding Position

Coder 4 provides inpatient coding utilizing ICD-10-CM and ICD-10 PCS Coding Classification systems. Utilizes an encoder and computer assisted coding (CAC) software to achieve accuracy and thorough coding. Researches complex coding scenarios and queries physicians on documentation for clarification. This is an inpatient coding position for an experienced, trained inpatient coder. A Coder 4 analyzes clinical documentation; assign appropriate diagnosis, procedure, and abstract the codes and other clinical data. This information is then used to determine reimbursement levels, assess quality of care, study patterns of illness and injuries, compare healthcare data between facilities and between physicians, and meet regulatory and payer reporting requirements. Assist in the resolution of clinical documentation and provide feedback to providers on the quality of their documentation.

Responsibilities

• Code and abstract clinical and demographic data for inpatient admissions using standardized coding regulations/guidelines, abstracting rules, and Fairview guidelines.
• Utilizes technical coding principals and/or MS-DRG/APR-DRG reimbursement expertise to assign appropriate ICD-10-CM and ICD-10 PCS codes.
• Knowledge of relationship of disease management, medications and ancillary test results on diagnoses assigned.
• Identify and resolve clinical documentation and charge capture data discrepancies to improve quality of the clinical documentation, severity and reimbursement levels assigned, integrity of data reported.
• Assigns Present on Admission (POA) value for inpatient diagnoses and identifies non-payment conditions Hospital Acquired Conditions (HAC) and ensures correct reporting.
• Query providers for additional documentation according to established procedures and guidelines in collaboration with the Clinical Documentation Integrity team.
• Assist in education of multidisciplinary team members, including physicians, as it pertains to frequently changing mandated rules, regulations, and guidelines.
• Evaluate, problem-solve issues and/or discrepancies, and recognize when additional information or documentation is required to accurately code records
• Maintains knowledge of, and complies with, all relevant laws, regulations, policies, procedures, and standards.
• Actively participates in creating and implementing improvements.
• Validate computer assisted coding (CAC) codes for accuracy.
• Timely and accurate work.
• Collaborates with other Revenue Cycle Members to assure timely filing.
• Contributes to the process or enablement of collecting expected payment.
• Understands and Adheres to Revenue Cycle's Escalation Policy.
• Collaborate with CDI staff to initiate queries and follow up with query resolution.
• Knowledge of SOI/ROM indicators, and awareness of how to improve these scores.
• Knowledge of PSI indicators.

Required Qualifications

• Certificate program in Coding or Associate of Science in HIM
• 3 years of coding experience
• Basic knowledge of Windows-based computer software.
• Keeping up to date with CEU's.
• Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS) or Certified Inpatient Coder (CIC)

Preferred Qualifications

• Bachelor of Science in HIM
• 2 years of inpatient coding experience

Benefit Overview

• medical
• dental
• vision plans
• life insurance
• short-term and long-term disability insurance
• PTO and Sick and Safe Time
• tuition reimbursement
• retirement
• early access to earned wages
• more!

Compensation Disclaimer

An individual's pay rate within the posted range may be determined by various factors, including skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization prioritizes pay equity and considers internal team equity when making any offer. Hiring at the maximum of the range is not typical. If your role is eligible for a sign-on bonus, the bonus program that is approved and in place at the time of offer, is what will be honored.

EEO Statement

EEO/Vet/Disabled:All qualified applicants will receive consideration without regard to any lawfully protected status