Hospital Coder / Inpatient - Full Time

Summary

Reviews inpatient clinical documentation, procedural information, and diagnostic results to apply ICD-10-CM and PCS diagnostic and procedural codes used for billing, internal and external data reporting, research, regulatory compliance, and quality monitoring.

Job Description

Using professional coding training, critical thinking, and clinical acumen, accurately assigns ICD-10-CM and ICD-10-PCS codes to conditions and procedures documented within the inpatient electronic medical record. Applies Official Coding Guidelines, CMS regulations/guidelines, and other coding standards and guidelines established for use with the ICD-10 standard code set.

Responsible to maintain quality and productivity standards and guidelines as set by the organization. Remains up-to-date on ICD-10-CM and PCS coding principles, governmental regulations, official coding guidelines and third-party payer requirements as they relate to compliant documentation, billing and coding practices. Strong knowledge of MS-DRGs and APR-DRGs.

Works collaboratively with providers and departments such as clinical documentation improvement and quality to standardize and enhance coding, documentation, and quality reporting related practices. Works with a variety of software solutions in the performance of daily work. Flexible and a strong commitment to team where staff and leaders work together across great distances, most often in a home-based work setting.

Qualifications

Associate degree in Health Information Technology (or eligible) or Bachelors degree in Health Information Management and/or Certified Coding Specialist (CCS) required.

Previous hospital coding experience highly desirable. Prior computer and/or encoder software experience desirable.

Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS) required. New graduates eligible for certification must complete the certification examination at the earliest testing dates following employment, and all subsequent dates thereafter until the exam is satisfactorily completed.