Inpatient HIM Coder - Remote

University of Vermont Medical Center; Burlington (VT); Remote; USD 50,000 - 70,000; Full time

Job summary

An established industry player is seeking a detail-oriented HIM Coder to work remotely with a flexible schedule. This role involves analyzing clinical documentation to ensure accurate coding for inpatient and outpatient services, utilizing knowledge of ICD-10 and DRG guidelines. Candidates should possess a strong understanding of medical terminology and anatomy, with preferred experience in healthcare settings. The position offers opportunities for continuous professional development and requires adherence to compliance standards. If you're passionate about coding and eager to contribute to healthcare accuracy, this role is perfect for you.

Qualifications

• Knowledge of anatomy and physiology, medical terminology, and disease processes.
• Certification in coding areas must be obtained within two years of hire.

Responsibilities

• Analyze clinical documentation for coding accuracy in inpatient and outpatient records.
• Communicate with healthcare providers to resolve documentation and coding issues.

Skills

ICD-10

PCS

DRG

Medical Terminology

Anatomy and Physiology

Healthcare Documentation

Education

High School Diploma

Associate's Degree in Allied Health or HIM

Bachelor's Degree in Allied Health or HIM

Tools

EPIC

3M Coding and Reimbursement Systems

Microsoft Word

Microsoft Excel

Microsoft Access

Microsoft Outlook

Job description

This role is 100% remote and has a flexible schedule: after completion of training period, regular daily schedule can be set within the hours of 5:00AM-6:00PM Monday through Friday. Prior inpatient coding (ICD-10, PCS, DRG) experience is strongly preferred, but general coding experience is considered. Exposure to a healthcare setting and knowledge of diagnosis and disease progression are beneficial for candidates.

**Please include college transcript(s) when submitting your application.**

JOB DESCRIPTION:

Applies knowledge of anatomy and physiology, medical terminology, and pathology of disease processes while analyzing clinical documentation for inpatient and outpatient records for facility and/or professional services coding. May be assigned to work on edit lists for accuracy of claims processing and data reporting. Applies knowledge of DRG, ICD-10, ICD-10 PCS, and guidelines from the American Hospital Association, American Medical Association, and applicable Federal and third-party payer policies to accurately and compliantly determine principal and secondary ICD-10 diagnoses codes, as well as principal and secondary ICD-10 procedure codes for all visits. Follows UVMMC compliance and HIM coding policies, maintaining financial goals and meeting or exceeding accuracy and productivity standards. Utilizes various electronic information systems such as EPIC, 3M Coding and Reimbursement Systems, and other clinical documentation systems or reference tools as appropriate. Effectively communicates with healthcare providers, department managers, and staff to resolve documentation, charge, or other issues to ensure coding accuracy and reimbursement. HIM Coders may be assigned additional duties as deemed necessary by the HIM Supervisor or Manager. All coders will adhere to the HIM Mission and Vision. Continuous professional development through seminars, articles, networking, web access, and other resources is encouraged to enhance coding knowledge.

EDUCATION:

Minimum: High school diploma. College-level coursework in Anatomy and Physiology and Medical Terminology is required. An Associate's or Bachelor's degree in Allied Health or HIM is preferred. Certification in one of the following areas must be obtained within two years of hire: CCA, CCS, CPC, CPC-A, COC, CIC, RHIT, or RHIA. Alternatively, a Certified Clinical Documentation Specialist or an RN with CCS, CPC, COC, or CIC certification is acceptable.

EXPERIENCE:

Knowledge of current AMA and AHA Coding Guidelines, State and Federal Regulations, and Professional Services and Compliance is preferred. Experience with 3M Coding and Reimbursement System, EPIC, or similar systems, as well as electronic clinical documentation and billing systems, is advantageous. Proficiency in Microsoft Word, Excel, Access, Outlook, and other databases or software systems is also preferred.