Coder - Inpatient DRG Coding

Geisinger; Danville (PA); Remote; USD 45,000 - 60,000; Full time

Job summary

A leading healthcare provider is seeking a Coder I to transform verbal descriptions of diseases and procedures into coded formats. The role involves reviewing medical records, ensuring accurate documentation, and collaborating with healthcare providers. Candidates should have coding experience and relevant certifications. This position offers a remote work option and a supportive environment focused on collaboration and diversity.

Benefits

Healthcare benefits from day one

Vision and dental coverage

Collaborative work environment

Qualifications

• Minimum of 1 year related work experience required.
• Graduate from Specialty Training Program preferred.

Responsibilities

• Reviews medical records to identify diagnoses and procedures.
• Translates diagnostic phrases into coded form procedure codes.
• Assigns codes based on coding guidelines and regulations.

Skills

PCS procedural coding experience

DRG coding

ICD10-PCS knowledge

Education

High School Diploma or Equivalent (GED)

Medical Billing and Coding Diploma

Job description

Job Summary Health information coding is the transformation of verbal descriptions of diseases, injuries, and procedures into numeric or alphanumeric designations. The coding process reviews and analyzes health records to identify relevant diagnoses and procedures for distinct patient encounters. Coders are responsible for translating diagnostic and procedural phrases utilized by healthcare providers into coded form procedure codes that can be utilized for submitting claims to payers for reimbursement. A joint effort between the healthcare provider and the coder is essential to achieve complete and accurate documentation, code assignment, and reporting of diagnoses and procedures.
Job Duties

• Reviews the content of the medical record for hospital and professional inpatient records to identify principal diagnosis, secondary diagnoses and procedures performed that explain the reason for service being provided or the admission and patient severity and comply with standard provider coding regulations.
• Carefully details review of documents such as laboratory findings, radiology reports, various scan reports, discharge summary, history and physical, consultations, orders, progress notes and other ancillary services treatment records needed to ensure all pertinent diagnoses and procedures are recorded.
• Translates all diagnostic and procedural phrases utilized by healthcare providers into coded form procedure codes as required.
• Using the Encoder software program, determines the codes for all diagnoses and procedures.
• Determines their sequencing to legally maximize reimbursement.
• Assigns the appropriate DRG.
• Assigns codes based on hospital and professional coding guidelines, Coding Clinic directives, federal regulations, CCI coding initiatives, CPT Assistant or other standard coding guidelines.
• Queries physicians as needed to clarify documentation within the patient's record to facilitate complete and accurate coding.
• Understands and applies internal policy and procedure guidelines regarding how to phrase physician queries.
• Assists the Coding Quality and Professional Manager with training of new coding staff related to hospital and professional coding guidelines, encoder and other software systems needed for the coding process, along with reviewing coding guidelines on an annual basis and makes recommendations for change to improve coding and data management.
• Communicates to Coding Quality and Professional Manager any new diagnoses, procedures, technologies, etc.
• documented within patient records to ensure that appropriate diagnosis and procedure codes are selected and incorporated into hospital and professional coding guidelines.
• Updates and corrects historical file data by completing and submitting claim action reports per the PHC4 quarterly report.

Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.

#LI-REMOTE

*Relevant experience may be a combination of related work experience and/or completed specialty training program (1 year of specialty training = 1 year relevant experience).

This posting reflects an opening for Coder I and we are seeking candidates for that position. Geisinger reserves the right to consider applicants for higher levels of this role based on their skills, qualifications, and experience. We encourage all qualified individuals to apply.

Position Details

PCS procedural coding experience preferred

DRG coding, familiarity of MDCs and knowledge /experience with ICD10-PCS

Coder I - Medical Billing and Coding Diploma required

Coder II and above - minimum of one Certification required :

Certified Professional Coder - AAPC

Certified Risk Adjustment Coder - AAPC

Registered Health Information Technician - AHIMA

Internet requirements:

Employee required to have/supply: Cable modem, (high speed, only - No DSL or Wireless Cellular Service or Satellite Service) The minimum requirement is:

• 25 MBPS UP
• 75 MBPS DOWN
• <150 ms Ping Required
• <30ms Jitter Required

Computer must be connected to the internet via Ethernet cable; wifi is not permitted unless a Virtual Private Network (VPN) is used for the wifi connection

Education High School Diploma or Equivalent (GED)- (Required), Graduate from Specialty Training Program- (Preferred)
Experience Minimum of 1 year-Related work experience (Required)
Certification(s) and License(s) Certified Risk Adjustment Coder - American Academy of Professional Coders (AAPC); Certified Professional Coder - American Academy of Professional Coders (AAPC); Registered Health Information Technician (RHIT) - American Health Information Management Association

OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran. We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status.