Health Information Management Inpatient Coder, FT, Days, Remote

Weingart Foundation; United States; Remote; USD 50,000 - 75,000; Full time

Job summary

A leading healthcare organization is seeking an Inpatient Coder responsible for coding medical information according to established guidelines. The ideal candidate will have certifications in health information management and experience in inpatient coding, working to ensure accurate data collection for billing and compliance purposes.

Qualifications

• Three years of coding experience in an acute care or ambulatory setting.
• Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS) is required.
• Inpatient coding experience is mandatory.

Responsibilities

• Codes medical information for major traumas and NICU records.
• Abstracts and assigns codes for quality indicators.
• Ensures adherence to coding and compliance policies.

Skills

Knowledge of electronic medical records

Medical terminology

Basic anatomy and physiology

Pathophysiology

Pharmacology

Education

Certification Program or Associate Degree

Coding Certificate through AHIMA

Tools

3M Encoder System

EPIC health information system

Job description

Codes medical information into the organization billing/abstracting systems and to complete 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 International Classification of Diseases (ICD) and International Classification of Diseases-Procedure Coding System (ICD-PCS) codes as well as the Diagnosis Related Groups (DRG) assignment. Abstracts and assigns and verifies codes for Major Complications and Comorbidities/Complications and Comorbidities (MCC/CCs), Hospital-Acquired Condition/Patient Safety Indicator (HAC/PSI) and Quality Indicators capture as appropriate through documentation validation. Ensures that each diagnosis present on admission (POA) indicator is assigned appropriately. Codes for multiple facilities. Adheres to Prisma Health Coding and Compliance policies and procedures for assignment of complete, accurate, timely and consistent codes. Data reported by this incumbent is used to meet licensure requirements, is used for statistical purposes, and for financial and billing purposes. Incumbent(s) operate under the general supervision of HIM Coding leadership.

Minimum Requirements

• Certification Program; Associate Degree or Coding Certificate through American Health Information Management (AHIMA) or other approved coding certification program. Three years - Coding experience in an acute care or ambulatory setting. Inpatient Coding Experience. Work experience may NOT be substituted forthe education requirement.

In Lieu Of

In lieu of the above experience and requirements, successful completion of the IP Coder Associate program, coder associates will be accepted.

Required Certifications/Registrations/Licenses

Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC) or other approved coding credential.

Knowledge, Skills and Abilities

• Knowledge of electronic medical records and 3M or Encoder System.
• Strong knowledge of medical terminology and basic anatomy and physiology, pathophysiology, and pharmacology with the ability to apply this knowledge to the coding process.
• Knowledge of MS DRG prospective payment system and severity systems.
• Ability to concentrate for extended periods of time.
• Ability to work and make decisions independently.
• EPIC health information system experiences preferred.