Inpatient Coder IIII (Remote)

Position Summary:

• Leads Inpatient coding team as assigned and backs up manager in their absence. Trains and mentors new and existing coders.
• Reviews and investigates issues sent to IP Coding team and collaboration with coders and other departments to resolve.
• Codes all types of Inpatients accounts to assist with backlog as necessary by reviewing inpatient clinical documentation to determine the appropriate assignment of alpha numeric diagnosis/procedure codes and Diagnosis Related Groups (DRG) - data is classified for internal and external statistical reporting, research, regulatory compliance, and reimbursement.

Key Areas of Responsibility:

• Inpatient coding Medical/ Surgical charts including but not limited to spinal surgery, cardiology- TAVR, ECMOs, Impellas, Interim coding, and NICU new born.
• Analyzes medical records using the Uniform Hospital Discharge Data Set (UHDDS), interprets documentation and assigns proper International Classification of Diseases, Tenth Edition, Clinical Modification (ICD-10-CM) diagnoses and ICD-10-Procedural Classification System (PCS) operative procedure codes utilizing designated software to included Computer Assisted Coding (CAC) and/or encoder, coding manuals and other reference material.
• Knowledgeable of coding rules and requirements to include clinical classification systems (such as current versions of ICD-10 and PCS), complication and comorbidity Conditions/Major complication and comorbidity Conditions (CC/MCC), Medicare Severity Diagnosis Related group (MS-DRG) structure, and Present on Admission (POA) indicators.
• Experience with querying physician’s/ when documentation/ Medical Records are unclear.
• Reviews DRG assigned to each record. Enters coded/abstracted information into software, analyzes DRG groupings, and observes for appropriate DRG assignment.
• Codes all types of cases including the most complex.
• Adheres to all department coding procedures, policies, guidelines, and quality standards.
• Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association/American Association of Procedural Coders and adheres to official coding guidelines.
• Meets revenue cycle goals (Key Performance Indicators (KPIs) and Productivity Standards).
• Manages the coding and IP edit work queues.
• Works with coders and other department to resolve.
• Reviews and investigate other issues related to IP coding and communicates with IP coder and other departments to resolve.
• Completes combined accounts.
• Completes reviews of denials and combined accounts.

Training/Leadership/Other

• Leads coding teams as assigned.
• Backs up manager in absence.
• Trains and mentors’ new coders to become acclimated to new environment and understanding internal coding policies and procedures.
• Trains and mentors’ coders who want to progress to more specialize coding of the more complicated types of accounts.
• Advances the team by influencing desired H3W Leadership Behaviors
• Advances the team by influencing positive team behaviors; encourages collaboration and communication within the team and across work groups.
• Completes additional assignments and special projects as assigned by Manager.

Qualifications:

• Four years or more of progressive on-the-job experience in an acute care hospital setting
• Prior experience with Inpatient Coding at a Level 1 Trauma Hospital.
• Certified Coding Specialist (CCS) required and maintained thereafter.

Extensive knowledge of:

• ICD‑10-CM diagnostic and ICD-10-PCS procedure codes
• UHDDS
• Various DRG methodologies (MS-DRG, APR-DRG, Tricare, etc.)
• IP Rehabilitation IRF-PAI coding requirement
• Clinical information related to areas of responsibility
• Microsoft Office Products; Word, Excel
• Encoder and/or CAC
• Utilize coding subject matter expertise to support Levels 1-3 coders and other projects.

Details:

• Pay: $35 - $43/hr. based on related coding & team lead experience.
• Pay cycle - weekly | medical, dental & vision benefits offered.
• Remote– must be willing to work EST schedule. 
• Schedule: Monday – Friday | Flexible start times between 7:00am – 8:30am EST. (8-hour shift, 40 hours per week)