Remote - Inpatient Coder II

Candidates residing in the following states will be considered for remote employment: Alabama, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Texas, Utah, and Virginia. Remote work will not be permitted from any other state at this time

The Inpatient Coder II is responsible for assigning ICD-10-CM and ICD-10-PCS codes for acute care inpatient, acute rehabilitation, swing bed and LTACH services. This assignment is based on evaluation of the documentation in the medical record and utilization of coding guidelines, Coding Clinic, knowledge of clinical disease processes and treatments. This position completes analysis and follow-up record reviews.

Responsibilities

• Codes complex diseases, procedures and diagnoses using the ICD-10-CM/PCS classification systems, in accordance with Official Coding Guidelines, CMS guidelines, PPS guidelines and organizational compliance standards.
• Assumes responsibility for professional development by participating in workshops, conferences and/or in-services and maintains appropriate records of participation.
• Completes complex coding assignments for reimbursement, research and compliance with Federal and State regulations. Researches coding guidelines. Reviews and appeals coding denials.
• Educates/Communicates with providers, querying providers to ensure that optimal clinical documentation is provided to demonstrate the severity and details of the patient’s illness in the medical record.
• Coordinates/Communicates with departments including clinical departments, Quality Improvement, Care Management, Patient Financial Services to ensure accuracy and timeliness of coding.
• Ensures data accuracy by responding to coding edits received.
• Completes special coding projects.
• Mentors and assists with training coders.
• Completes analysis by utilizing reports, record reviews, etc.
• Other duties as assigned.

• Must have coding education - Required
• Associate's Degree - Health Information Management / Medical Records - Required
• Bachelor's Degree - Health Information Management / Medical Records - Required

• 3 Years - experience in coding in an acute care setting. - Preferred

• Certified Coding Specialist (CCS) - Required Upon Hire
• Registered Health Information Administrator (RHIA) - Preferred Upon Hire Or
• Registered Health Information Technician (RHIT) - Preferred Upon Hire

• Travel to off-site locations may be required. - Required

Qualifications

Essential Technical/Motor Skills

• Input and retrieve data, speaking clearly, precise hand\eye coordination, fine motor skills and good writing skills.
• Detailed knowledge of medical terminology, pathophysiology, coding guidelines.

Interpersonal Skills

• Must be courteous
• Work in a professional, caring manner with internal and external customers
• Have the ability to work with interruptions, and flexibility in hours and workflow, foster teamwork and promote service and quality in everything.

Essential Physical Requirements

• Regularly required to sit, reach with hands and arms, stand, walk, climb, balance, stoop, kneel, or crouch.

Essential Mental Abilities

• Must interpret data from chart, analyze encoder instructions, understand what physician is trying to convey and concentrate for long time periods.

Essential Sensory Requirements

• Must be able to visualize/interpret patient record.

Exposure to Hazards

Other Skills and Abilities