Inpatient Coder

DaMar Staffing; Warwick (RI); Presencial; USD 55 000 - 75 000; Tempo integral

Resumo da oferta

DaMar Staffing seeks a qualified Coder to assign and record accurate ICD-10-CM/PCS codes for diagnoses and procedures from physicians' notes. You will ensure proper DRG factors, contact providers for clarification, and enter coded data into the hospital’s automated grouper system.

The role requires CCS certification and a strong knowledge of medical terminology, anatomy, and physiology, with at least one year of inpatient coding experience.

Qualificações

• High school diploma or GED required.
• CCS certification required.
• Knowledge of ICD-10-CM/PCS and medical terminology.

Responsabilidades

• Code all diagnoses and procedures using ICD-10-CM/PCS.
• Ensure accurate DRG assignment and ranking of diagnoses.
• Abstract information and enter data into hospital systems.

Conhecimentos

ICD-10-CM/PCS knowledge

Medical terminology

Effective communication

Formação académica

High school diploma or GED

Associate/Bachelor in health information management (substitutes for experience)

Ferramentas

Computer applications (MS Office, EHR)

Descrição da oferta de emprego

The Coder is responsible for coding medical records, including all diagnoses and operative and diagnostic procedures in patient medical records, using the current International Classification of Diseases (ICD 10 CM/PCS) for diagnoses and procedures, and entering coded information into an automated grouper system. Does related work as required.

Responsibilities

• Using the current ICD10 CM/PCS coding systems for diagnoses and procedures, assigns and records an accurate code to all diagnoses, procedures, and operations as documented by the attending physician in the indicated patients medical record.
• Ensures that all factors necessary for assigning an accurate DRG are present, and that all diagnoses are ranked properly.
• Makes appropriate contacts in order to acquire or clarify necessary information.
• Enters final diagnostic code numbers and narrative descriptions of diagnoses and procedures into an automated grouper system.
• Abstracts information from medical records to compile reports and statistical information.
• Enters data such as diagnosis, treatment, admission and discharge dates, length of stay, etc., on hospital-wide or regional automated database.
• Query appropriate provider as necessary regarding documentation of diagnosis and/or procedure.

Qualifications/Requirements

• Experience: Minimum of one year of experience where the primary function of the position was inpatient medical records coding in or for a hospital.
• Education: High school or equivalency diploma, required. An Associates degree or Bachelors degree in health information management may be substituted for one year of the required experience.
• Licenses / Certifications: Current certification is Certified Coding Specialist (CCS) required.
• Other: Thorough knowledge of the current ICD10CM/PCS diagnosis and procedure codes; thorough knowledge of medical terminology, anatomy and physiology; ability to understand and code medical records; ability to communicate effectively both verbally and in writing; ability to effectively use computer applications or other automated systems such as spreadsheets, word processing, calendar and e-mail for performing work assignments; ability to read, write, speak, understand, and communicate sufficiently to perform the essential duties of the position.

Special Requirements

• N/A