Health Information Management Inpatient Coding Associate, FT, Days - Remote

Prisma Health; Columbia (SC); Remote; USD 40,000 - 60,000; Full time

Job summary

Join a forward-thinking healthcare organization as an HIM Inpatient Apprentice Coder! This apprenticeship offers a unique opportunity to learn the intricacies of inpatient coding under the guidance of experienced professionals. You will be immersed in a supportive environment, applying coding concepts to real medical records while adhering to best practices and regulatory guidelines. This role is perfect for those eager to gain hands-on experience in a vital healthcare function, contributing to the accuracy of patient records and billing processes. If you are passionate about making a difference in healthcare, this is the opportunity for you.

Qualifications

• No previous experience required, but coding certifications preferred.
• Desire to gain hands-on experience in inpatient coding.

Responsibilities

• Learn inpatient coding under supervision and apply coding concepts.
• Perform entry-level coding and verify assignments of DRGs and HACs.

Skills

Knowledge of electronic medical records

Effective verbal communication skills

Excellent written communication skills

Strong knowledge of medical terminology

Ability to concentrate for extended periods

Education

Associate's Degree

Coding Certificate

Tools

3M or Encoder System

Epic

Job description

Inspire health. Serve with compassion. Be the difference.

Job Summary

The HIM Inpatient Apprentice Coder is an apprenticeship position that will learn inpatient coding under close supervision by coding leadership. The apprentice coder will learn to abstract medical information into the organization billing/abstracting systems and complete the coding function through established best practice processes and professional and regulatory coding guidelines. The Apprentice coder will take coding concepts learned and apply them to real medical records. The hands-on learning opportunity will take place in a setting that is conducive to how best coders learn under the direct mentorship of a coding leader, coding educator and/or Sr IP Coding Analyst.

Accountabilities

• Participates in Prisma Health's inpatient Coding Apprentice Program.
• Completes all learning modules and passes the associated module exams.
• Performs entry-level coding by applying ICD and ICD-PCS codes to assigned inpatient records based on review of clinical documentation as per department-specific guidelines and within designated timelines. Follows up on on-hold accounts for final coding. Verifies assignment of DRGs, MCC/CCs, Hospital Acquired Conditions (HACs) and Patient Safety Indicators (PSIs) that most appropriately reflect documentation of the occurrence of events, severity of illness, and resources utilized during the inpatient encounter in compliance with department policies and procedures.
• Learns how to identify and request physician queries following established guidelines when existing documentation is unclear or ambiguous following American Health Information Management (AHIMA) guidelines and established organization policies.
• Actively participates in all training provided online and in person if needed.
• Adheres to department standards for productivity and accuracy.
• Identifies and escalates coding issues to coding leadership.
• Participates in onsite, remote and/or external training workshops and training. Attends and participates in CDI-Coding Task Force and other collaborative training and education with CDI, PFS, and Quality.
• Demonstrates proficiency in utilizing official coding books as well as the electronic medical record, computer-assisted coding/encoding software, and clinical documentation information systems to facilitate coding assignment.
• Performs other duties as assigned.

Management/Supervisory Responsibilities

This is a non-management job that will report to a supervisor, manager, director or executive.

Minimum Education

Associate's Degree or Coding Certificate through American Health Information Management (AHIMA) or other approved coding certification program.

Minimum Experience

No previous experience required.

Required Certifications

Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC) or other approved coding credential or is eligible to take any of the aforementioned certifications.

Knowledge, Skills, or Abilities

• Knowledge of electronic medical records and 3M or Encoder System.
• Desire to gain hands-on experience in professional fee, outpatient facility and inpatient facility coding, in addition to experience working with an electronic medical record (Epic) preferred.
• Effective verbal communication skills preferred.
• Excellent written communication skills preferred.
• 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 in a classroom setting as well as independently.

Work Shift

Day (United States of America)

Location

Richland

Facility

7001 Corporate

Department

70017512 HIM Coding

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