Job description:
Essential Job Functions:
- Assign ICD10CM and PCS codes to hospital inpatient visits.
- Reviews and analyzes the content of medical records and the autosuggested computer assisted codes (CAC) for the appropriate assignment of ICD diagnosis/procedure codes, present on admission indicators, hierarchical condition categories, complication and comorbidities in the proper sequence in accordance with official coding resources resulting in an accurate DRG assignment.
- Meets 95% accuracy rate in audits.
- Maintains productivity of 2.75 charts per hour after release from training period.
- Accurately reviews and codes patient records in the following clinical areas: hospital inpatient services.
- Auditing the accuracy of the CAC software autosuggested codes.
- Reviews clinical documentation to validate accurate representation of the patient's clinical picture, treatment, and diagnoses. Identifies when documentation relevant to the coding process is missing, lacks specificity or is inconsistent and takes steps to obtain the documentation.
- Identifies and enters data elements for abstracting.
- Meets defined coding accuracy standards.
- Meets defined coding productivity standards.
- Basic understanding of how natural language processing engine works.
- Applies broad guidelines to specific coding situations, independently utilizing discretion and a significant level of analytic ability.
- Understands how diagnosis and procedure codes, and reimbursement methodologies are used to determine reimbursement, public reporting of outcomes, quality of patient care, financial modeling, strategic planning, and marketing.
- Remains current with coding and industry changes through participation in educational opportunities to maintain coding credentials.
- Demonstrates a thorough knowledge of hospital inpatient coding.
Qualifications:
- Must Have Skills/Experience:
- Will NOT consider candidates whose inpatient coding experience is not clearly stated on resume.
- We need inpatient facility coders who code for hospital reimbursement. A key difference is that Profee Coders use CPT codes for reporting services or procedures performed by physicians, whereas we use ICD-10 PCS codes.
- 2 years acute inpatient coding experience
- Certified Coding Specialist credential (CCS)
- or
- Registered Health Information Technologist (RHIT)
- or
- Registered Health Information Administrator (RHIA)
- Preferred Skillset/Experience:
- Associates degree in Health Information Management.
- Bachelors degree in Health Information Management.
Why is This a Great Opportunity:
Great benefits!