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Inpatient Coder

Company: coronis health
Location: Everett
Posted on: June 12, 2021

Job Description:

Inpatient Coder

DESCRIPTION:

The inpatient coder will review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10 Diagnosis codes, along with PCS codes as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance. Under the direction of the coding manager-the coder should accurately code conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting, CMS/MAC rules and the PCS rules established by CMS, and any other official coding guidelines established for use with mandated standard code sets.

RESPONSIBLITIES:

  • Good working knowledge of Anatomy and Physiology as well as Medical Terminology

  • Advanced knowledge of CMS/MAC guidance, Coding Skills, ICD-10-CM, PCS and DRG

  • Ability to analyze Provider documentation and assign codes accurately

  • Excellent verbal and written Communication Skills

  • Strong knowledge and application of Government and other payer guidelines as they relate to compliant coding

  • High level of Accuracy and Productivity

  • Meets or exceeds standards consistently

  • Minimum of three years of inpatient (acute care) coding experience with majority of experience

  • Experience with Critical Access experience desired but not required.

  • Satisfactory completion of Coronis Corporate ICD-10-CM and PCS test 85% or above on both CM and PCS.

  • Assures that all services documented in the patient's chart are coded with appropriate ICD-10CM and PCS codes

  • Solid knowledge of hospital documentation, and coding workflows and terminology; Solid understanding of MS-DRGs and APR-DRGs; Solid understanding of and ability to apply Coding Clinic and other coding guidelines.

  • Computer Assisted Coding (CAC) experience desired but not required.

  • Proficiency in MS Office, including Outlook, Word, Excel and PowerPoint.

  • Experience with remote EHR access and encoder preferred; Technical skill set sufficient to sustain independent remote working environment, including PC troubleshooting, program installation.

  • Ability to work independently

  • HIPAA compliant work stations

  • Strong working knowledge of Protected Health Information

  • Maintains professional credentials at all times. + Organizational Skills. + Knowledge of Microsoft Word and Excel

  • When services/diagnoses are not documented appropriately, seeks to attain proper documentation in a timely manner according to facility standards

  • Achieves and maintains 95% accuracy in coding while maintaining a high level of productivity

  • Accuracy will be monitored during monthly reviews

  • Ability to maintain average AAPC and AHIMA productivity

  • Works the review queue on a daily basis to ensure all charts that are placed in the review queue are worked and any corrections are communicated to the facility if necessary

  • Charts that require re-bills are corrected and communicated to the facility daily for the rebill process.

  • Coder downtime must be reported immediately to the administrative staff to ensure turn around is met

  • Responsible for working directly with the QA staff to ensure quality standards are being met for each facility

  • Provides accurate answers to physician's/hospitals coding and/or billing questions within 8 hours of request

  • Responsible for coding or pending every chart placed in their queue within 24 hours

  • It is the responsibility of the coder to notify administrative staff in the event they cannot meet the 24 -hour turn around standard.

  • Quality reports must be reviewed, and necessary corrective action plan should be communicated to the IQC manager within five working days of receipt of the monthly quality report

  • Coders are responsible for checking Coronis' email system at least every two hours during coding session

  • Coders must maintain their current professional credentials while working for Coronis

  • It is the responsibility of each coder to review and adhere to the coding division policy and procedure manual content

  • Works well with other members of the facilities coding and billing team to ensure maximum efficiency and reimbursement for properly documented services

  • Communicates problems or coding principle discrepancies to their supervisor immediately

QUALIFICATIONS:

  • AAPC OR AHIMA Inpatient Coding Certification

  • Experience in EHR systems (ie - Meditech, Cerner, NextGen, EPIC, eClinical, NextGen, CSPI)

  • Critical thinking skills, problem solving skills, follow-through skills, and the ability to see "the big picture"

  • Working knowledge of the disease process and clinical indictors

  • Must be able to learn and operate a variety of complicated computer programs and EHR's

  • Ability to work well on a team and as an individual

  • Understand insurance policies and procedures

  • Understand coding terminology and uses; PCS, ICD-10, basic modifiers, etc

Keywords: coronis health, Everett , Inpatient Coder, Other , Everett, Washington

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