In-Patient Coder - Acute - CABG

Jobrapido; Springfield (IL); On-site; USD 55,000 - 85,000; Full time

Job summary

Jobrapido is seeking an In-Patient Coder in Springfield, IL to handle inpatient coding for CABG, Ortho, and Med cases. The role uses 3M 360 Encoder HDM to streamline coding and billing processes.

The coder will ensure ICD-10-CM/PCS accuracy, DRG assignment, and compliance with HIPAA and related regulations. Essential duties include creating compliant physician queries, reviewing claims for medical necessity, updating problem lists, and ensuring timely, accurate coding across multiple sites and

Qualifications

• 2 year degree or equivalent experience.
• AHIMA or AAPC certification REQUIRED.
• Credentials: RHIA, RHIT, CCS, CPC, COC.
• Experience coding CABG, Ortho, and Med cases.
• Experience with 3M 360 Encoder HDM.

Responsibilities

• Inpatient: assign ICD-10-CM and PCS codes accurately.
• Ensure correct DRG and documentation review for medical necessity.
• Create compliant physician queries.
• Review claims for medical necessity and update problem lists.
• Assign present on admission indicators; provide client support.
• Floats between sites and coding specialties as needed.

Skills

Communication skills

Organizational skills

Time management

Team collaboration

Education

Associate degree or equivalent

AHIMA or AAPC certification

Tools

3M 360 Encoder HDM

Job description

The In-Patient Coder will handle medical coding and data entry / abstraction for Hospital (Acute) In-patient visits. Specifically, will code CABG (cardio), Ortho, and Med cases. Additionally, this individual will use the 3M 360 Encoder HDM to streamline the coding/billing process.

These Goals and objectives are not to be construed as a complete statement of all duties performed; employees will be required to perform other job related duties as required. Goals and objectives are subject to change.

All activities must be in compliance with Equal Employment Opportunity laws, HIPAA, ERISA and other regulations, as appropriate.

Essential Functions:

In addition to working as prescribed in our Performance Factors specific responsibilities of this role include:

• Inpatient: Accurately assigns ICD-10-CM and PCS primary and secondary diagnoses and procedure codes based on the documentation in the record and in accordance with the site specific guidelines and policies. Accurate assignment of the DRG.
• Ability to create compliant physician queries.
• Accurately review claims for medical necessity.
• Update problem lists consistent with client contract.
• Correctly assign present on admission indicators.
• Ability to provide excellent customer service to our clients and teammates.
• Consistently demonstrates an excellent attitude, and works to strengthen the team as a whole.
• Floats between multiple sites, and coding specialties with ease and flexibility.

Minimum Requirements:

Education/Experience/Certification Requirements

• 2 year degree or equivalent experience; AHIMA or AAPC certification REQUIRED.
• Actively holds one or more of the following credentials: RHIA, RHIT, CCS, CPC, COC
• Experience coding CABG, Ortho, and Med cases REQUIRED.
• Experience working with 3M 360 Encoder HDM REQUIRED.
• Meets or exceeds Quality and Productivity standards.
• Excellent communication (written and oral) and interpersonal skills.
• Strong organizational, multi-tasking, and time-management skills.
• Must be detail oriented and able to follow through on issues to resolution.
• Must be able to act both independently, and as a team member.
• Excellent communication (written and oral) and interpersonal skills.
• Strong organizational, multi-tasking, and time-management skills.
• Must be detail oriented and able to follow through on issues to resolution.
• Must be able to act both independently and as a team member.