Coder - Day Surgery

Coder - Day Surgery

Responsible for assigning appropriate diagnostic and procedural codes to patient charts of moderate to high complexity using ICD-10-CM, ICD-10-PCS, CPT, HCPCS or any other designated coding classification system in accordance with coding rules and regulations. Abides by the Standards of Ethical Coding as set forth by AHIMA.

Employment Type: Full Time
Location: Remote
Reports To: Coding Operations Manager

Job Summary:

• • Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Adheres to Standards of Ethical Coding (AHIMA)
  • Reviews medical records to determine accurate required abstracting elements including appropriate discharge disposition
  • Knowledge of MS-DRG and APR DRG classifications and reimbursement structures
  • Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-10-CM and ICD-10-PCS coding
  • Comprehensive understanding of CCs/MCCs, impact on quality reporting, UHDDS guidelines, HACs and PSIs

    The Inpatient Coder shall review hospital medical documentation to assign and sequence the appropriate principal diagnosis, secondary diagnoses and procedures utilizing ICD-10-CM, ICD-10-PCS codes with inpatient encounters to ensure proper coding, billing and compliance

  • Experience with compliant physician query writing

Qualifications:

• One to three years’ experience performing medical record coding in acute care setting required.
• High school diploma or equivalent is required.
• Associate of bachelor’s degree in Health Information, Nursing, or other related field, or formal coding classes completed and passed preferred. Years of coding experience will be considered in lieu of educational requirements.
• Functional Knowledge of EMR (Electronic Medical Record), Encoder and CDI Tools and other Support Software.
• Comprehensive understanding of UHDDS guidelines, CCI Edits, Coding Clinic, etc.
• Microsoft Office (Word, One Note, Excel, Outlook, PowerPoint) proficient.
• Excellent verbal and written communication skills.
• Ability to meet assigned deadlines.

Work Experience, Education, and Certifications:

• Associate degree preferred.
• 1 year of Acute/Physician Coding Experience.
• AHIMA or AAPC Certification required such as RHIA, RHIT, CCS, CPC, CIRCC, COC

Software/Hardware:

• 3M360 experienced required.

Benefits:

• Competitive salary and benefits package.
• Opportunities for professional development and advancement.
• Supportive work environment with a collaborative team.
• Comprehensive healthcare coverage.
• Retirement savings plan.
• Paid time off and flexible scheduling options.
• Student loan repayment program.