Inpatient Coder III
Inpatient Coder III
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Job Description
Description
Summary:
Appropriately analyzes and codes complex inpatient records for facility. Position requires highlevel expertise in coding and documentation guidelines coding clinics and knowledge of MS DRGs CC/MCC for appropriate reimbursement and compliance.
Responsibilities:
Performs ICD10CM diagnostic and ICD10 PCS procedural coding to maintain an accurate database & ensure accurate coding at minimum accuracy rate of 95. Competent in the utilization of an electronic medical record and computerized coding/abstracting systems. Applies knowledge of diagnosis related group assignment official Coding guidelines comorbidity/complication coding Hospital acquired conditions accurate present on admission assignment and current American Hospital Association coding clinic guidance. Effectively and professionally communicates with providers to clarify documentation in order to assign accurate diagnoses and procedures in order to calculate the appropriate diagnosis related group and severity of illness/risk of mortality. Ability to code using either 3M encoder or ICD10CM/ICD10 PCS codebook. Mentors and trains junior coders. Performs audits as assigned by the coding manager. Demonstrates advanced knowledge of the impact of coding decisions on revenue cycle including the ability to assist in appealing payer denials. Responds to all business office questions regarding diagnoses and procedures in a timely manner. May assist as needed in other coding areas. Attends and participates in required hospital education programs in order to maintain and enhance their coding skills and stay abreast of changes in codes coding guidelines and regulations. Maintains certified coding credentials in accordance with the certified coding requirements and demonstrates annual compliance. Fulfills all compliance responsibilities related to the position. Performs other duties as assigned.
Other Information:
Essential: * Certified Coding Specialist (AHIMA) or Certified Inpatient Coder (AAPC) Required: Specialized training in medical terminology ICD10CM/ICD10 PCS coding. Ability to decipher operative reports medication orders & various medical records in the appropriate selection of codes. Experience in acute care coding inpatient records. Minimum Experience: Five years demonstrated coding experience in appropriate application of coding and documentation guidelines Desired: Course work in Anatomy and Physiology and knowledge of CPT codes. Education Derived Education Essential: * HS Graduate or Equivalent
Company: Western CT Health Network Inc
Org Unit: 265
Department: Coders
Exempt: No
Salary Range: $32.23 $59.86 Hourly
Employment Type
Full Time
