Coder II, Inpatient

WakeMed Health & Hospitals; Raleigh (NC); On-site; USD 60,000 - 90,000; Full time

Job summary

WakeMed Health & Hospitals is seeking a Coder II, Inpatient to code inpatient accounts and assign DRGs with accuracy. The role includes abstracting records, ensuring timely ICD-10-CM and ICD-10-PCS codes, and maintaining current coding guidelines.

Responsibilities include collaborating with physicians and clinical staff to resolve documentation issues and improve coding accuracy for reimbursement and reporting. Inpatient focus with a balance under $90,000 and Rehab coding is noted.

Qualifications

• Inpatient coding knowledge with ICD-10-CM/ICD-10-PCS.
• Experience in DRG assignment for reimbursement.
• Ability to abstract medical records with case mix considerations.
• Communication with physicians and clinical staff on coding issues.
• Familiarity with recognized coding guidelines (AHA Coding Clinic).

Responsibilities

• Code inpatient accounts and assign DRGs.
• Abstract medical records with case mix considerations.
• Ensure timely and accurate ICD-10-CM and ICD-10-PCS coding for reimbursement.
• Communicate coding and documentation issues with physicians and clinical staff.

Skills

ICD-10-CM coding

ICD-10-PCS coding

DRG assignment

Medical record abstraction

Communication with physicians

Education

Associate's Degree Health Information Management

Bachelor's Degree Health Information Management

Tools

3M Encoder

Job description

Overview

The Coder II, Inpatient is responsible for coding inpatient accounts with a balance less than $90,000 including Rehab and accounts that fall into the Inpatient Coder I category, performs the functions of coding, DRG assignment, collection of predefined indicators and abstracting medical records with a case mix greater than 1.5, provides timely and accurate ICD-10-CM and ICD-10-PCS codes for reimbursement and specific information for statistical purposes. Remains current with recognized resources - AHA Coding Clinic and Official Coding Guidelines. Groups discharges utilizing the 3M encoder selecting the appropriate DRG for reimbursement. Communicates with physicians and clinical staff regarding coding and documentation issues.

**Eligible remote states include NC, FL, GA, SC, SD, TN, TX and VA.**

Department Description

Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit www.wakemed.org.

EOE

Licensure

• Registered Health Information Administrator
• Registered Health Information Technician
• Certified Professional Coder
• Certified Coding Specialist
• Certified Outpatient Coder Required

Education

• Associate's Degree Health Information Management Preferred
• Bachelor's Degree Health Information Management Preferred

Experience

• 3 Years Coding - Inpatient Preferred