We are currently hiring a fully remote Inpatient Facility Coder for a great healthcare organization!
- Equipment is provided
- Schedule: M- F 8am-5pm
Day to day responsibilities:
- Reviews medical records to identify pertinent diagnoses and procedures relative to the patient's health care encounter
- Selects the principal diagnosis and principal procedure, along with other diagnoses and procedures using UHDDS definition
- Ensures appropriate DRG assignment
- Abstracts appropriate information from the medical record based on the guidelines provided by the client and after a thorough review of the medical record
- Consistently meet productivity and quality performance requirements
- Responsible for utilizing applications to enter charts coded in real-time throughout the scheduled shift
- As an experienced coder, you will be responsible for providing coding and abstracting services for clients' inpatient charts
- You will use established coding principles and your knowledge and experience to assign diagnostic and procedural codes after a thorough review of the medical record to obtain the appropriate DRG
- As a coding leader, you will participate in industry forums as well as support coding education within the team
- Solicits clarification from the physician regarding ambiguous or conflicting documentation in the medical record using guidelines provided by the client
- Flexibility in assignment over multiple clients to ensure meeting required classification hours
- Maintains current knowledge of the information contained in the Coding Clinic, CPT Assistant, and the Official Guidelines for Coding and Reporting
- Responsible for keeping coding credentials up to date and active
Required Skills:
- Inpatient Medical and Surgical admissions
- Must have a minimum of 3 years of related Inpatient Facility coding experience
- We are looking for candidates that are currently working and coding IP facility charts in their current role
- Experience coding at least Level II trauma charts at medium to large sized hospitals
- Must be able to code multi-specialty IP charts
- Understands medical terminology, anatomy, physiology, surgical technology, pharmacology and disease processes
- Extensive knowledge of ICD-10-CM and CPT coding principles and guidelines, reimbursement systems, federal, state and payor-specific regulations and policies pertaining to documentation, coding and billing
- Must pass inpatient coding proficiency test
- Coding credentials required: CCS or CCS & CIC depending upon the client