Inpatient ICD-10 Coder & HIM Specialist

Mary Free Bed Rehabilitation Hospital; Grand Rapids (MI); On-site; USD 60,000 - 75,000; Full time

Job summary

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,

Qualifications

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

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.

Education

Associates

Job description

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,