Medical Coder Inpatient Registry/PRN

Silver Cross Hospital; Illinois; Remote; USD 30,000 - 60,000; Part time

Job summary

An established industry player is seeking a detail-oriented Medical Coder to join their team. This part-time role involves accurately coding medical records, ensuring compliance with official guidelines, and collaborating with clinical specialists to enhance documentation quality. The ideal candidate will have a strong background in health information management, with relevant certifications and experience in acute care hospital coding. This position offers flexibility with remote work options after training, making it an excellent opportunity for those looking to balance work and personal commitments while contributing to quality patient care.

Qualifications

• Experience in acute care hospital coding is essential.
• Knowledge of MS-DRG and APR-DRG is required.
• Certification in health information management is necessary.

Responsibilities

• Accurately codes diagnoses and procedures in medical records.
• Works with specialists to ensure clear documentation.
• Maintains confidentiality and promotes a safe environment.

Skills

Medical Coding

Data Abstraction

Clinical Documentation Improvement

AHIMA Guidelines

Education

Associate Degree in RHIT

Bachelor Degree in RHIA

Certified Coding Specialist Certificate

Tools

Computer Assisted Coding Software

3M Encoder

Cerner

Meditech

Optum System

Job description

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Position Summary:

Codes accurately and productively with abstraction to assigned medical records, meeting Official Coding guidelines for reimbursement, indexing, and statistical requirements of the hospital. Maintains production and accuracy standards consistently.

Essential Duties and Responsibilities:

1. Accurately codes and sequences all diagnoses and procedures documented in the medical record according to established official coding guidelines, principles, and reimbursement standards.
2. Utilizes Computer Assisted Coding software following assigned workflows.
3. Accurately abstracts required data entering into the Computer Assisted Coding system.
4. Works with Clinical Documentation Improvement Specialists to ensure clear, concise, and specific documentation from physicians when clarification is needed.
5. Issues accurate coding queries following AHIMA guidelines and assists with documentation clarification.
6. Assists with special projects and reports as requested.
7. Remote position following training and meeting production/quality standards.
8. Promotes a clean and safe environment of care, utilizing SAFE error prevention habits.
9. Maintains privacy and confidentiality in all matters involving patients, coworkers, and the hospital, abiding by the Standards of Conduct.

Required Qualifications:

• Associate Degree in Registered Health Information Technician (RHIT), Bachelor Degree in Registered Health Information Administrator (RHIA), or Certified Coding Specialist Certificate (CCS).
• MS-DRG knowledge required; APR-DRG knowledge is a plus. Acute Care Hospital Coding experience required. 3M Encoder experience preferred. Experience with Cerner, Meditech, Optum System preferred.
• Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS) required.

Various, registry 10-20 hours a week.

Additional Information:

• Seniority level: Mid-Senior level
• Employment type: Part-time
• Job function: Health Care Provider
• Industries: Hospitals and Health Care