Inpatient Coder - HIM Specialist

Mary Free Bed; Grand Rapids (MI); Presencial; USD 27.000 - 38.000; Jornada completa

Descripción de la vacante

Mary Free Bed Rehabilitation Hospital seeks a Health Information Management Specialist to review clinical documentation, assign ICD-10-CM codes for inpatient stays, and support regulatory and billing accuracy. You will collaborate with clinical staff to ensure compliant coding and data quality.

Responsibilities include querying for clarification, staying current with IRF-PPS guidelines, and providing physician education on documentation and coding standards.

Formación

• Associates degree or equivalent training required, five years on-the-job experience preferred.
• RHIA, RHIT, CCS certification required or preferred.
• Advanced understanding of anatomy & physiology, medical terminology, and record documentation requirements.
• Familiarity with HIM principles and hospital coding guidelines.

Responsabilidades

• Review inpatient documentation to assign principal diagnoses and comorbid conditions.
• Code inpatient conditions and procedures per ICD-10-CM guidelines.
• Assist in workflow changes to reduce billing errors and stay current with coding guidelines.
• Query providers for clarification when information is incomplete or ambiguous.
• Educate physicians on documentation requirements for accurate coding.
• Ensure compliance with IRF-PPS policy changes and coding requirements.
• Maintain awareness of coding guidelines and perform quality improvement tasks.

Conocimientos

Interpersonal skills

Time management

MS Office skills

Independent worker

Educación

Associates degree or equivalent training

RHIA/RHIT/CCS certifications

Anatomy & physiology knowledge

Medical terminology knowledge

Record documentation requirements

Herramientas

Office software

Descripción del empleo

Health Information Management Specialist

Mary Free Bed is a not-for-profit, nationally accredited rehabilitation hospital serving thousands of children and adults each year through inpatient, outpatient, sub-acute rehabilitation, orthotics and prosthetics and home and community programs. With the most comprehensive rehabilitation services in Michigan and an exclusive focus on rehabilitation, Mary Free Bed physicians, nurses and therapists help our patients achieve outstanding clinical outcomes. The growing Mary Free Bed Network provides patients throughout the state with access to our unique standard of care.

Restoring hope and freedom through rehabilitation.

At Mary Free Bed, we take pride in our values-based culture:

• Focus on Patient Care. A selfless drive to serve and heal connects all MFB employees.
• Clinical Variety and Challenge. An inter-disciplinary approach and a top team of professionals create ever-changing opportunities and activities.
• Family Culture. We offer the stability of a large organization while nurturing the family/team atmosphere of a small organization.
• Trust in Each Other. Each employee knows that co-workers can be trusted to make the right decision for our family, patients, staff, and community.
• A Proud Tradition. Years of dedicated, quality service to our patients and community have yielded a reputation that fills our employees with pride.

Review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10-CM codes for billing, internal and external reporting, research, and regulatory compliance. Under the direction of the manager of Health Information Management, accurately code inpatient conditions and procedures as documented in the ICD-10-CM Official Guidelines for Coding and Reporting. Assist in design and implementation of workflow changes to reduce billing errors and remain abreast of all applicable Federal, State, regulatory and hospital-specific coding guidelines.

Essential Job Responsibilities:

• Determine and assign etiology code(s), and co morbidity condition code(s) for each inpatient admission according to IRF PPS coding guidelines. Collaborate with UR Coordinator, PPS Specialist, and/or Attending Physician when necessary, regarding assignment of etiology code and Impairment Group Code.
• Upon inpatient discharge, review, and research appropriate provider documentation to determine principal diagnoses, co-morbid conditions, complications, secondary conditions and surgical procedures.
• Utilizes technical coding principles and CMG reimbursement expertise to assign appropriate ICD-10-CM codes to diagnoses and procedures. Correctly record codes for the UB-04 as well as the IRF-PAI instrument carefully adhering to IRF PPS coding requirements.
• Analyze records for completeness and appropriate code justification, if unable to validate, persist in additional research and follow up for analysis and final adjudication.
• Query provider (physician or other qualified healthcare practitioner) for clarification and additional documentation prior to code assignment when there is conflicting, incomplete, or ambiguous information in the health record.
• Maintain comprehensive awareness of IRF-PPS policy changes, including tier codes, documentation requirements, and IRF-PPS guidelines
• Provide physician education regarding documentation requirements needed for accurate code assignment.
• Adheres to official coding guidelines.

Customer Service Responsibilities:

Demonstrate excellent customer service and standards of behaviors as well as encourages, coaches, and monitors the same in team members. This individual should consistently promote teamwork and direct communication with co-workers and deal discretely and sensitively with confidential information.

Responsibilities in Quality Improvement:

Contribute by identifying problems and seeking solutions. Promote patient/family satisfaction where possible; participates in departmental efforts to monitor and report customer service.

Essential Job Qualifications:

• Associates degree or equivalent training required through, at least, five (5) years of progressive on-the-job experience.
• RHIA, RHIT, CCS certification.
• Advanced understanding of anatomy & physiology, medical terminology, and record documentation requirements.
• Familiarity with principles and practices of HIM and understand how they apply to hospital records and coding.
• Strong and effective interpersonal skills, including oral and written.
• Time management skills to handle multiple, competing demands and priorities, and work effectively under pressure.
• Intermediate knowledge of Microsoft Office (Word, Excel, and PowerPoint).
• Quick learning style with the ability to ask discerning questions.
• Sense of urgency and ability to quickly adapt to changes in priorities.
• Collaborative team style and open communication, including with other departments and sites.
• Self-directing organized and can reason objectively.
• Must be able to work independently as well as in a group functioning in a multi-task environment.
• Excellent analysis and problem-solving skills.
• Demonstrated commitment to organizational mission with a "whatever it takes" attitude to get the job done.
• Credible and trustworthy.
• Information-management skills and ability to interpret, communicate, and present data.

Preferred Job Qualifications:

• IRF Coding experience and/or acute care hospital inpatient coding experience preferred.

Physical Requirements for Essential Job Qualification:

• Remain in a stationary position: Majority
• Traverse or move around work location: None
• Use keyboard: Frequently
• Operate or use department specific equipment: None
• Ascend/Descend equipment or ladder: None
• Position self to accomplish the Essential Functions of the role: None
• Receive and communicate information and ideas for understanding: Frequently
• Transport, position, and/or exert force:
  • Up to 10 pounds: Occasionally
  • Up to 25 pounds: _____
  • Up to 50 pounds: _____
  • Up to 75 pounds: _____
  • More than 100 pounds: _____
  • Other weight: Up to___ pounds _____
• Other: None

Consistent with the Americans with Disabilities Act (ADA), it is the policy of Mary Free Bed Rehabilitation Hospital to provide reasonable accommodation when requested by a qualified applicant or employee with a disability, unless such accommodation would cause an undue hardship. The policy regarding requests for reasonable accommodation applies to all aspects of employment, including the application process. If reasonable accommodation is needed, please contact the Talent Acquisition team at [e-mail].

Mary Free Bed is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, age, genetic information, veteran status, disability or other legally protected characteristic.

Compensation based on experience, starting from $23.45.