Hospital Based Inpatient Coder III - HIM - FT - Days - Remote Eligible

CO010 Memorial Healthcare System; United States; Remote; USD 65,000 - 90,000; Full time

Job summary

Memorial Healthcare System is seeking a Hospital inpatient coder to assign and sequence diagnoses and procedures for inpatient encounters. You will utilize encoder software and EMR documentation in line with Official Coding Guidelines and CMS rules.

The role requires 3 years inpatient coding experience or completion of the MHS coder intern program, with RHIT/RHIA/CCS credentials preferred, and strict confidentiality adherence.

Qualifications

• Three (3) years inpatient coding experience in a hospital setting or a graduate of the MHS coder intern program.
• RHIT, RHIA, or CCS certification as per job requirements.
• Must maintain confidentiality and comply with regulatory standards.

Responsibilities

• Assign and sequence diagnosis and procedure codes for inpatient encounters using encoder software.
• Review MS-DRGs and APR-DRGs for accurate code assignment.
• Formulate physician queries for validation of clinical findings.
• Submit daily productivity reports to the manager by deadline.
• Maintain coding quality and productivity standards.

Skills

Inpatient coding

Accuracy

Documentation

Confidentiality

Education

High School Diploma or Equivalent

CCA - AHIMA

Tools

Encoder software

EMR systems

Job description

Location: Miramar, Florida At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience. Summary: Hospital-based Inpatient Coder offers the opportunity for a remote environment. Utilizing an electronic medical record and computerized encoder, assigns and sequences diagnosis and procedure codes and present on admission indicators for inpatient encounters based on medical record documentation in accordance with Official Coding Guidelines, CMS regulations, encoder software guidance and Health Information Management (HIM) policies and procedures.

• Attends educational meetings and seminars to maintain certification and continuing education requirements.
• Maintains strict adherence to patient confidentiality according to MHS Standards and regulatory requirements.
• Meet and maintain Memorial Healthcare System (MHS) coding quality and productivity standards.
• Submit daily productivity report to manager by defined deadline.
• Performs all other duties as requested.
• Reviews and validates accuracy of Admission-Discharge-Transfer (ADT) data fields; abstracts discharge disposition, physicians, procedure dates, and present on admission (POA) indicators.
• Reviews appropriate inpatient coding work queues daily to address coding edits and needed corrections and follows procedure to notify billing as needed.
• Reviews accounts and performs needed correction for internal audits and external denials.
• Reviews inpatient medical records to assign and sequence all appropriate diagnosis and procedure codes utilizing encoder software and following official coding guidelines.
• Reviews Medicare Severity Diagnosis Related Groups (MSDRGs) and All Patient Refined Diagnosis Related Groups (APRDRGs) for appropriate code assignment.
• Formulates physician queries for validation of pathological findings.
• Requests clinical validation queries for Clinical Documentation Integrity (CDI) review and follow-up.
• Seeks clarification from providers or other designated resources to ensure accurate and complete coding.

Competencies

• ACCOUNTABILITY
• ACCURACY (DRG)
• ACCURACY - CODER
• CUSTOMER SERVICE
• EFFECTIVE COMMUNICATION
• HEALTH INFORMATION MANAGEMENT (HIM) SYSTEMS - CODER
• PRODUCTIVITY - IP CODING
• RESPONDING TO CHANGE
• STANDARDS OF BEHAVIOR

Education and Certification Requirements

• High School Diploma or Equivalent (Required)
• Certified Coding Associate (CCA) - American Health Information Management Association (AHIMA)

Additional Job Information

Complexity of Work: Requires critical thinking skills, effective communication skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action. Proficient in basic computer skills and ability to utilize a computerized encoder and electronic medical record system.

Required Work Experience

Three (3) years inpatient coding experience in a hospital setting or a graduate of the MHS coder intern program.

Other Information

Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS).

Additional Education Info

Focused education of hospital based coding.

Additional Credential Info

Can be Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS).

Working Conditions and Physical Requirements

• Bending and Stooping = 40%
• Climbing = 0%
• Keyboard Entry = 60%
• Kneeling = 40%
• Lifting/Carrying Patients 35 Pounds or Greater = 0%
• Lifting or Carrying 0 - 25 lbs Non-Patient = 40%
• Lifting or Carrying 2501 lbs - 75 lbs Non-Patient = 0%
• Lifting or Carrying > 75 lbs Non-Patient = 0%
• Pushing or Pulling 0 - 25 lbs Non-Patient = 40%
• Pushing or Pulling 26 - 75 lbs Non-Patient = 0%
• Pushing or Pulling > 75 lbs Non-Patient = 0%
• Reaching = 40%
• Repetitive Movement Foot/Leg = 0%
• Repetitive Movement Hand/Arm = 60%
• Running = 0%
• Sitting = 60%
• Squatting = 40%
• Standing = 60%
• Walking = 60%
• Audible Speech = 60%
• Hearing Acuity = 60%
• Smelling Acuity = 0%
• Taste Discrimination = 0%
• Depth Perception = 60%
• Distinguish Color = 60%
• Seeing - Far = 60%
• Seeing - Near = 60%
• Bio hazardous Waste = 0%
• Biological Hazards - Respiratory = 0%
• Biological Hazards - Skin or Ingestion = 0%
• Blood and/or Bodily Fluids = 0%
• Communicable Diseases and/or Pathogens = 0%
• Asbestos = 0%
• Cytotoxic Chemicals = 0%
• Dust = 0%
• Gas/Vapors/Fumes = 0%
• Hazardous Chemicals = 0%
• Hazardous Medication = 0%
• Latex = 0%
• Computer Monitor = 80%
• Domestic Animals = 0%
• Extreme Heat/Cold = 0%
• Fire Risk = 0%
• Hazardous Noise = 0%
• Heating Devices = 0%
• Hypoxia = 0%
• Laser/High Intensity Lights = 0%
• Magnetic Fields = 0%
• Moving Mechanical Parts = 0%
• Needles/Sharp Objects = 0%
• Potential Electric Shock = 0%
• Potential for Physical Assault = 0%
• Radiation = 0%
• Sudden Decompression During Flights = 0%
• Unprotected Heights = 0%
• Wet or Slippery Surfaces = 0%

Shift

Days Disclaimer

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Memorial Healthcare System is proud to be an equal opportunity employer committed to workplace diversity. Memorial Healthcare System recruits, hires and promotes qualified candidates for employment opportunities without regard to race, color, age, religion, gender, sexual orientation, national origin, veteran status, disability, genetic information, or any factor prohibited by law. We are proud to offer Veteran's Preference to former military, reservists and military spouses (including widows and widowers). You must indicate your status on your application to take advantage of this program. Employment is subject to post offer, pre-placement assessment, including drug testing. If you need reasonable accommodation during the application process, please call 954-276-8340 (M-F, 8am-5pm) or email [e-mail] Be where care matters. At Memorial Healthcare System, we are dedicated to improving the health, well-being, and quality of life of the people entrusted to our care. This unwavering commitment to our service vision makes the difference and is the foundation of The Memorial Experience. Deeper Caring. Smarter Healthcare. Talk to our patients and their families about "Deeper Caring," and they'll tell you stories about miracle babies, lives saved through sheer determination, and the comforting kindness of others. For our employees, "Smarter Healthcare" means constantly improving how we deliver care. It could be a new technology, a streamlined process, or a cutting-edge program leveraging our system strengths. But, no matter how you look at it, our service vision is integral to our culture today and what we strive to be tomorrow. We invite you to share in the Memorial Experience – where touching lives, lifting spirits, and healing the human body is our profession’s greatest privilege and reward. Be where you are valued. Memorial Healthcare System provides preference as part of our commitment to honoring the service and sacrifice of veterans in alignment with state regulations. Veteran's Preference allows for the first choice in interviewing, hiring, retention, and promotion after deployment when all other applicant qualifications are equal. However, Veteran's Preference does not guarantee a job. Who is eligible for Veteran’s Preference? We are proud to offer preference to internal and external applicants who identify within these categories: veterans, disabled veterans, spouse of a disabled veteran, unremarried veteran widow/widower, certain family members, active reservists and members of the National Guard. What should I do if I am eligible for Veteran’s Preference? You must claim your Veteran’s Preference status on your application. If selected for a job, you must provide documentation regarding your status. How does Memorial verify that someone is eligible for Veteran’s Preference? We require specific documentation as determined by the basis for which someone claims preference. For example, the documentation for a disabled veteran is different from the documentation required for the spouse of a veteran killed in the line of duty. How often can an eligible person claim Veteran's Preference at Memorial? There is no limit to how often internal or external applicants can use preference when a job is posted externally on our career website or elsewhere. What if there are two equally qualified, preference-eligible job applicants? In this case, the selection is based on the eligibility category in accordance with Florida law. First preference is given to: An honorably discharged veteran who has served on active duty and has a service-connected, compensable disability. A spouse of a person who has a total, permanent, service-connected disability and cannot qualify for employment. A spouse of a person missing in action, captured or forcibly detained or interned by a foreign government or power.

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