SO_Coder IV, Inpatient (Remote)

Lensa; Livonia (MI); Remote; USD 10,000 - 60,000; Full time

Job summary

An established industry player is seeking a skilled coding professional to join their team. This role involves analyzing health records to ensure accurate coding for reimbursement, utilizing advanced encoder software, and collaborating with healthcare providers. The successful candidate will demonstrate expertise in medical coding and a commitment to maintaining high standards of documentation. Join a diverse and inclusive workplace that values equity and provides opportunities for professional growth. If you have a passion for healthcare and coding, this is the perfect opportunity to make an impact.

Qualifications

• Completion of an AHIMA-approved coding program or equivalent experience.
• Registered Health Information Technician (RHIT) or similar certification required.
• Three years of acute care or inpatient coding experience.

Responsibilities

• Analyze physician/provider documentation for accurate coding.
• Utilize encoder software for coding Inpatient health records.
• Collaborate with HIM and PBS teams to resolve billing issues.

Skills

Medical Coding

ICD Coding

MS-DRG Assignment

Clinical Documentation

Health Information Management

Communication Skills

Education

Associate’s degree in Health Information Management

Bachelor’s degree in HIM or related healthcare field

Tools

Encoder Software

Computer-Assisted Coding (CAC)

EMR Communication Tools

Job description

1 day ago Be among the first 25 applicants

Get AI-powered advice on this job and more exclusive features.

Lensa is the leading career site for job seekers at every stage of their career. Our client, Trinity Health, is seeking professionals. Apply via Lensa today!

Employment Type
Full time

Shift
Day Shift

Description

Provides high level technical competency and subject matter expertise analyzing physician/provider documentation in Inpatient health records to determine the principal diagnosis, secondary diagnoses, principal procedure, and secondary procedures. Assigns appropriate Medicare Severity Diagnosis Related Groups (MS-DRG), All Patient Refined DRGs (APR), Present on Admission (POA), as well as Severity of Illness (SOI) & Risk of Mortality (ROM) indicators for Inpatient records. Identifies Hospital Acquired Conditions (HAC), Patient Safety Indicators (PSI) to ensure accurate hospital reimbursement. Utilizes encoder software applications, which includes all applicable online tools and references in the assignment of ICD-CM diagnosis and procedure codes, MS-DRG, APR DRG, POA, SOI & ROM.

Essential Functions

• Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions.
• Navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS-DRGs, APR DRGs, and identify HACs and PSIs or other indicators that could impact quality data and hospital reimbursement.
• Codes Inpatient health records utilizing encoder software and consistently uses online tools to support the coding process and references to assign ICD codes, MS-DRG, APR DRGs, POA, SOI & ROM indicators

Reviews Inpatient health record documentation, as part of the coding process, to assess the presence of clinical evidence/indicators to support diagnosis code and MS-DRG, APR DRG, to potentially decrease denials.

• Works on inpatient claim edits and may code consecutive/combined accounts to comply with the 72-hour rule and other account scenarios.
• Adheres to inpatient coding quality and productivity standards established by Revenue Excellence/HM.
• Demonstrates knowledge of current, compliant coder query practices when consulting with physicians, Clinical Documentation Specialists (CDS), or other healthcare providers when additional information is needed for coding and/or to clarify conflicting or ambiguous documentation.
• Utilizes EMR communication tools to track missing documentation or inpatient queries that require follow-up to facilitate coding in a timely fashion.
• Works with HIM and Patient Business Services (PBS) teams, when needed, to help resolve billing, claims, denial, and appeals issues affecting reimbursement.
• Maintains CEUs as appropriate for coding credentials as required by credentialing associations.
• Maintains current knowledge of changes in inpatient coding and reimbursement guidelines and regulations as well as new applications or settings for inpatient coding e.g., Hospital at Home.
• Identifies, and attempts to problem solve, coding and/or EMR workflow issues that can impact coding.
• Exhibits awareness of health record documentation or other coding ethics concerns. Notifies appropriate leadership for assistance, resolution when appropriate.
• Performs other duties as assigned by leadership.
• Maintains a working knowledge of applicable coding and reimbursement laws, regulations, the Compliance Program, Code of Ethics, and other policies to ensure ethical and professional behavior.

Minimum Qualifications

• Completion of an AHIMA-approved coding program or Associate’s degree in Health Information Management or a related field or an equivalent combination of education and experience. Bachelor’s degree in HIM or related healthcare field preferred.
• Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS) required.

• Three (3) years of current acute care or inpatient coding experience required. Extensive knowledge of medical terminology, anatomy, physiology, diagnostic and procedural coding, MS-DRG, APR DRG assignment. Must be proficient in identifying POA, SOI, and ROM indicators, HACs, and PSIs for accurate reimbursement.
• Current experience with encoding/grouping software and Computer-Assisted Coding (CAC) preferred.
• Ability to use standard desktop/laptop, email, Windows applications, internet, and web-based training tools.
• Strong communication skills, effective with diverse groups.
• Research, analyze, and synthesize information from various sources.

Hourly Pay Range: $27.41 - $41.13

Our Commitment to Diversity and Inclusion

Trinity Health, a large not-for-profit Catholic healthcare system, values diversity, equity, and inclusion. We serve diverse communities and aim to provide accessible, equitable care. We are an Equal Opportunity Employer, considering all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected statuses.

Our dedication to diversity includes training, recruitment, retention, development, community partnerships, and supplier diversity. We serve diverse populations, recognizing cultural beliefs, values, traditions, language preferences, and health practices to improve health outcomes.