Health Information Management Inpatient Coder, FT, Days, - Remote

Prisma Health; Columbia (SC); Remote; USD 50,000 - 90,000; Full time

Job summary

An established industry player is seeking a dedicated medical coder to join their team. In this vital role, you will apply your expertise in ICD and ICD-PCS coding to ensure accurate billing and compliance across multiple facilities. Your attention to detail and understanding of medical terminology will be crucial as you collaborate with clinical documentation specialists and adhere to best practice coding guidelines. This position offers an opportunity to make a significant impact on healthcare delivery and contribute to the transformation of healthcare services in the community. Join us in making a difference!

Qualifications

• 3+ years of inpatient coding experience in acute care settings.
• Certification in RHIT, RHIA, CCS, or CIC required.

Responsibilities

• Apply ICD and ICD-PCS codes to inpatient records accurately.
• Review coding tasks daily and prioritize as per guidelines.

Skills

ICD Coding

ICD-PCS Coding

Medical Terminology

Anatomy and Physiology

Clinical Documentation Review

Coding Software Proficiency

Attention to Detail

Independent Decision Making

Education

Associate Degree in Health Information

Coding Certificate from AHIMA

Tools

3M Coding System

EPIC Health Information System

Electronic Medical Records

Job description

Inspire health. Serve with compassion. Be the difference.

Job Summary

Codes medical information into the organization billing/abstracting systems and completes the coding function through established best practice processes and professional and regulatory coding guidelines. Performs inpatient coding including major traumas and Neonatal Intensive Care Unit (NICU) records by assigning ICD and ICD-PCS codes, as well as the Diagnosis Related Groups (DRG) assignment. Abstracts, assigns, and verifies codes for MCC/CCs, HAC/PSI, and quality indicators through documentation validation. Ensures correct POA indicator assignment for each diagnosis. Codes for multiple facilities and adheres to Prisma Health Coding and Compliance policies for complete, accurate, timely, and consistent coding. The data reported is used for licensure, statistical, financial, and billing purposes. Operates under supervision of HIM Coding leadership.

Accountabilities

1. Apply ICD and ICD-PCS codes to inpatient records, including major traumas and NICU, based on clinical documentation review. Verify DRGs, MCC/CCs, HACs, and PSIs for accurate reflection of clinical events, severity, and resource utilization. Select optimal diagnoses with appropriate POA indicators and risk adjustment sequencing.

2. Review work queues daily, prioritize coding tasks as per guidelines, and follow up on on-hold accounts within deadlines.

3. Identify and request physician queries when documentation is unclear, ensuring all queries are addressed before final coding, following AHIMA guidelines and organizational policies.

4. Adhere to department standards for productivity and accuracy.

5. Identify coding issues and escalate concerns to leadership.

6. Participate in training workshops and collaborative education initiatives.

7. Utilize official coding books, electronic medical records, and coding software proficiently.

8. Collaborate with clinical documentation specialists on coding and documentation practices.

9. Perform other duties as assigned.

Supervisory/Management Responsibilities

• This is a non-management role reporting to a supervisor, manager, director, or executive.

Minimum Requirements

• Certification program; Associate Degree or Coding Certificate from AHIMA or approved program.

• At least 3 years of inpatient coding experience in an acute care or ambulatory setting. Work experience alone does not substitute for educational requirements.

In Lieu Of

• Successful completion of the IP Coder Associate program is accepted in lieu of the above experience and requirements.

Required Certifications/Registrations/Licenses

• RHIT, RHIA, CCS, CIC, or other approved credential.

Knowledge, Skills, and Abilities

• Knowledge of electronic medical records and coding systems like 3M or Encoder.

• Strong understanding of medical terminology, anatomy, physiology, pathophysiology, and pharmacology.

• Knowledge of MS DRG prospective payment system and severity systems.

• Ability to focus for extended periods.

• Ability to work independently and make decisions.

• EPIC health information system experience preferred.

Work Shift

Day (United States of America)

Location

Corporate

Facility

7001 Corporate

Department

70017512 HIM Coding

Share your talent with us! Our vision is to transform healthcare for the benefit of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.