Inpatient HIM Coder - Remote

UVM Home Health, Inc.; Burlington (VT); Remote; USD 45,000 - 75,000; Full time

Job summary

Join a forward-thinking healthcare organization as a remote coding specialist, where you can leverage your expertise in ICD-10 and DRG coding. This role offers a flexible schedule and the opportunity to work from home, allowing you to balance your professional and personal life effectively. You will analyze clinical documentation, ensuring compliance with coding standards while collaborating with healthcare providers to enhance accuracy in coding and reimbursement. This position not only values your coding skills but also encourages continuous learning and professional development, making it an ideal opportunity for those passionate about healthcare and coding excellence.

Qualifications

• Prior inpatient coding experience strongly preferred.
• Knowledge of coding guidelines and compliance standards is essential.
• Certification required within two years of hire.

Responsibilities

• Analyze clinical documentation for accurate coding of inpatient and outpatient records.
• Communicate with healthcare providers to resolve coding issues.
• Utilize electronic systems for coding and reimbursement accuracy.

Skills

ICD-10 Coding

DRG Knowledge

Medical Terminology

Anatomy and Physiology

Communication Skills

Education

High School Diploma

College-level courses in Anatomy and Physiology

Associate's or Bachelor's degree in Allied Health or HIM

Certification in CCA, CCS, CPC, etc.

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 strongly preferred, but general coding experience is considered. Exposure to a healthcare setting and knowledge of diagnosis and disease progression is beneficial for candidates.

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

JOB DESCRIPTION:

1. Apply 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.
2. May be assigned to work on edit lists for accuracy of claims processing and data reporting.
3. Apply 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 and procedure codes for all visits.
4. Follow UVMMC compliance and HIM coding policies, maintaining financial goals and meeting or exceeding accuracy and productivity standards.
5. Utilize various electronic information systems such as EPIC, 3M Coding and Reimbursement Systems, and other clinical documentation or reference systems.
6. Communicate effectively with healthcare providers, department managers, and staff to resolve documentation, charge, or other issues to ensure coding and reimbursement accuracy.
7. Perform other duties as assigned by the HIM Supervisor or HIM Manager.
8. Adhere to the HIM Mission and Vision.
9. Continuously seek to improve coding knowledge through seminars, articles, networking, web access, and other resources.

EDUCATION:

• Minimum: High school diploma.
• Required: College-level courses in Anatomy and Physiology and Medical Terminology.
• Preferred: Associate's or Bachelor's degree in Allied Health or HIM.
• Certification required within two years of hire in one of the following: CCA, CCS, CPC, CPC-A, COC, CIC, RHIT, or RHIA; or certification as a clinical documentation specialist or RN with CCS, CPC, COC, or CIC.

EXPERIENCE:

• Knowledge of current AMA and AHA Coding Guidelines, State and Federal Regulations, and compliance standards preferred.
• Experience with 3M Coding and Reimbursement System, EPIC, or similar systems preferred.
• Proficiency in Microsoft Word, Excel, Access, Outlook, and other databases or software systems.