Senior Inpatient Coder & HIM Specialist

10 Mary Free Bed Rehabilitation Hospital; Grand Rapids (MI); On-site; USD 27,000 - 38,000; Full time

Job summary

Mary Free Bed Rehabilitation Hospital in the United States seeks a Health Information Management coder to accurately assign ICD-10-CM codes for inpatient records and ensure compliance with IRF PPS guidelines. You will support coding accuracy and contribute to reducing billing errors under the Health Information Management leadership.

The role requires RHIA/RHIT/CCS credentials, strong anatomy/terminology knowledge, and the ability to work with interdisciplinary teams.

Qualifications

• Associates degree or equivalent training required through, at least, five (5) years of progressive on-the-job experience.
• RHIA, RHIT, CCS certification.
• Advanced understanding of anatomy & physiology, medical terminology, and record documentation requirements.
• Familiarity with principles and practices of HIM and understand how they apply to hospital records and coding.
• Strong and effective interpersonal skills, including oral and written.
• Time management skills to handle multiple, competing demands and priorities, and work effectively under pressure.
• Intermediate knowledge of Microsoft Office (Word, Excel, and PowerPoint).
• Quick learning style with the ability to ask discerning questions.
• Sense of urgency and ability to quickly adapt to changes in priorities.
• Collaborative team style and open communication, including with other departments and sites.
• Self-directing organized and can reason objectively.
• Must be able to work independently as well as in a group functioning in a multi-task environment.
• Excellent analysis and problem-solving skills.
• Demonstrated commitment to organizational mission with a “whatever it takes” attitude to get the job done.
• Credible and trustworthy.
• Information-management skills and ability to interpret, communicate, and present data.

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.

Skills

Strong interpersonal skills

Time management

Attention to detail

Effective written communication

Ability to work under pressure

Education

Associates degree or equivalent training

RHIA, RHIT, CCS certification

Tools

Microsoft Office (Word, Excel, PowerPoint)

Job description

Mary Free Bed Rehabilitation Hospital in the United States seeks a Health Information Management coder to accurately assign ICD-10-CM codes for inpatient records and ensure compliance with IRF PPS guidelines. You will support coding accuracy and contribute to reducing billing errors under the Health Information Management leadership.

The role requires RHIA/RHIT/CCS credentials, strong anatomy/terminology knowledge, and the ability to work with interdisciplinary teams.