Inpatient Senior Coder - Remote

Conifer Health Solutions; Frisco (TX); Remote; USD 50,000 - 80,000; Full time

Job summary

An established industry player is seeking a detail-oriented Inpatient Senior Coder to join their remote team. This role is crucial for ensuring accurate coding of inpatient charts using ICD-10-CM and ICD-10-PCS, adhering to ethical standards and guidelines. As a subject matter expert, you will provide consultation and support to team members while maintaining high coding accuracy and productivity. The ideal candidate will thrive in a collaborative environment, staying updated with the latest coding practices and contributing to the overall efficiency of the coding department. If you are passionate about coding and want to make a significant impact in healthcare, this opportunity is perfect for you.

Benefits

Remote Work Flexibility

Health Insurance

401(k) Plan

Paid Time Off

Continuing Education Support

Qualifications

• 1-3 years of inpatient coding experience required.
• AHIMA RHIT or RHIA or AAPC CCS credential required.

Responsibilities

• Assign diagnostic and procedural codes to inpatient charts accurately.
• Perform quality reviews and coding audits to ensure compliance.

Skills

ICD-10-CM Coding

ICD-10-PCS Coding

MS-DRG Classification

AHIMA Compliance

Coding Quality Assurance

Physician Queries

Clinical Documentation Improvement (CDI)

Education

High School Diploma

Associate Degree in Health Information

Bachelor’s Degree in Nursing

Tools

Electronic Medical Records (EMR)

Coding Software

Encoder Tools

Job description

Join to apply for the Inpatient Senior Coder - Remote role at Conifer Health Solutions

Job Summary

Responsible for assigning diagnostic and procedural codes to inpatient charts using ICD-10-CM and ICD-10-PCS or any other designated coding classification system in accordance with coding rules and regulations. Abides by the Standards of Ethical Coding as set forth by AHIMA. Abstracting required clinical information from the medical record. Performs inpatient coding quality/second level reviews, inpatient denial reviews, provides consultation on projects, and may be primary point of contact for team members and other departments when supervisor/manager is not available. Acts as a resource and subject matter expert for the inpatient coding team.

Essential Duties And Responsibilities

• Coding: Reviews medical records for accurate code assignment of all documented diagnoses and procedures in accordance with Official Coding Guidelines. Adheres to Standards of Ethical Coding (AHIMA).
• Abstracting: Reviews medical records to determine accurate required abstracting elements (facility/client specific elements) including appropriate discharge disposition.
• Coding Quality: Demonstrates consistency in achieving or exceeding 95.5% coding accuracy in the selection of principal and secondary diagnoses (including DRG, MCC & CC, SOI/ROM) and procedures. Demonstrates accuracy and consistency in abstracting elements defined by the facility.
• Coder Productivity: Meets and/or exceeds Conifer’s inpatient coding productivity guidelines.
• Physician Queries: Demonstrates strong skills in creating appropriate and compliant physician retrospective coding queries.
• Professional Development: Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-10-CM and ICD-10-PCS coding. Completes mandatory coding education as assigned. Quarterly review of AHA Coding Clinic. Attends all required coding operations conference calls.
• DNFB: Reviews held accounts daily for resolution in support of coding DNFB performance. Communicates barriers to leaders (physician queries, missing documentation, second level review, DRG reconciliation, etc.) for appropriate follow-up and resolution. Provides operational performance reports to leadership as requested.

Knowledge, Skills, Abilities

• Strong knowledge of MS-DRG and APR DRG classification and reimbursement structures.
• Proficient at writing AHIMA compliant physician queries.
• Adept at comparing documentation, code assignment and charge in the financial system for accuracy and completeness and elevating concerns to the appropriate manager.
• Proficient in researching and responding to Business Office questions related to coding and/or payer-specific coding guidelines.
• Ability to use office equipment and automated systems/applications/software at an acceptable level of proficiency.
• Works collaboratively with CDI, Quality and other facility leadership.
• Functional knowledge of facility EMR, encoder, CDI tool and other support software.

Education / Experience

• One to three years experience performing inpatient coding in acute care setting required.
• High school graduate or equivalent is required.
• Associate or Bachelor’s Degree in Health Information, Nursing, or related field preferred. Years of coding experience may be considered in lieu of educational requirements.

Certificates, Licenses, Registrations

• Required: AHIMA RHIT or RHIA or AAPC CCS approved credential.

Physical Demands

• Ability to lift 15-20lbs.
• Ability to sit and work at a computer for prolonged periods. Includes walking through hospital-based departments and emergency environments if applicable.

Work Environment

• Office and hospital environments.
• Remote work in a private home office per company policy.

Other

• Must be able to travel nationally as needed, not to exceed 10%.