Inpatient Coder - HIM Specialist

Mary Free Bed Rehabilitation Hospital; Grand Rapids (MI); Presencial; USD 60.000 - 75.000; Jornada completa

Descripción de la vacante

Mary Free Bed Rehabilitation Hospital in Grand Rapids, MI is seeking a Health Information Management coder to review clinical documentation and apply ICD-10-CM codes for inpatient stays and billing. Under the Health Information Management Manager, you will ensure accurate coding, support IRF PPS reporting, and contribute to reducing billing errors through coding workflow improvements.

Excellent attention to detail and knowledge of AHIMA guidelines are essential, with collaboration across UR,

Formación

• Associates degree required or equivalent in Health Information Management or related field.

Responsabilidades

• 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.
• 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.
• 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.
• Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to official coding guidelines.

Educación

Associates

Descripción del empleo

Mary Free Bed Summary

We have the great privilege of helping patients and families re-build their lives. It's extraordinarily meaningful work and the reason we greet the day with optimism and anticipation. When patients "Ask for Mary," they experience a culture that has been sculpted for more than a century. Our hallmark is to carefully listen to patients and innovatively serve them. This is true of every employee, from support staff and leadership to clinicians and care providers.

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

Mission Statement

Restoring hope and freedom through rehabilitation.

Employment Value Proposition

• 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.

Summary

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.
• 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.
• 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.
• Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and 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