Inpatient Coder

Medical Billing and CodingMedical Billing and CodingFull TimeRemoteJuniorTeam 10,001+H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

55 days ago

Salary

$27 - $40 / hour

Seniority

Junior

High School1 yr expExperience acceptedEnglish

Job Description

• Responsible for assigning diagnostic and procedural codes to inpatient charts using ICD-10-CM and ICD-10-PCS 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. • Abstracting required clinical information from the medical record. • Reviews medical records for the determination of accurate code assignment of all documented diagnoses and procedures in accordance with Official Coding Guidelines. • Adheres to Standards of Ethical Coding (AHIMA). • Reviews medical records to determine accurate required abstracting elements (facility/client specific elements) including appropriate discharge disposition. • Demonstrates consistency in achieving or exceeding 95.5% coding accuracy in the selection of principal and secondary diagnoses (including DRG, MCC & CC, SOI/ROM) and procedures. • Demonstrates accuracy and consistency in abstracting elements defined by per facility. • Meets and/or exceeds Conifer’s inpatient coding productivity guidelines. • Demonstrates strong skills in creating appropriate and compliant physician retrospective coding queries. • Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-10-CM and ICD-10-PCS coding. • Completes mandatory coding education as assigned. • Quarterly review of AHA Coding Clinic. • Attends all required coding operations conference calls. • Reviews held accounts daily for resolution in support of coding DNFB performance. Communicates barriers to leaders (physician queries, missing documentation, second level review, DRG reconciliation, etc.) for appropriate follow-up and resolution.

Job Requirements

  • One to three years experience performing inpatient coding in acute care setting required
  • High school graduate or equivalent is required
  • Associate or Bachelor’s Degree in Health Information, Nursing, or other related field preferred. Years of coding experience would be considered in lieu of educational requirements.
  • Strong knowledge of MS-DRG and APR DRG classification and reimbursement structures
  • Proficient at writing AHIMA compliant physician queries
  • Adept at comparing documentation, code assignment and charge in the financial system for accuracy and completeness and elevating concerns to the appropriate manager
  • Proficient in researching and responding to Business Office questions related to coding and/or payer-specific coding guidelines.
  • Ability to use office equipment and automated systems/applications/software at an acceptable level of proficiency
  • Works collaboratively with CDI, Quality and other facility leadership
  • Functional knowledge of facility EMR, encoder, CDI tool and other support software

Benefits

  • Medical, dental, vision, disability, and life insurance
  • Paid time off (vacation & sick leave) – min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked.
  • 401k with up to 6% employer match
  • 10 paid holidays per year
  • Health savings accounts, healthcare & dependent flexible spending accounts
  • Employee Assistance program, Employee discount program
  • Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance.
  • For Colorado employees, Conifer offers paid leave in accordance with Colorado’s Healthy Families and Workplaces Act.

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