Health Information Management Coder Senior

4 weeks ago


Columbia, United States TEEMA Full time
Job DescriptionJob Description

Health Information Management Coder Senior- Inpatient- Remote
Candidate must reside in the states of Texas, Louisiana, Arkansas, New Mexico, Oklahoma or Georgia to further be considered for this position. Please do not reply if you do not live in one of these states

Monday-Friday 8 rate of 95% or better. Coder will accurately abstract data into any and all appropriate electronic medical record systems, verifying accurate patient dispositions and physician data, following the Official ICD-10-CM and ICD-10-PCS Guidelines for Coding and Reporting. Inpatient coding is applicable towards all regional Inpatient encounters. Coder will also assist in other areas of the department, as requested by leadership. Coder will report directly to their Regional Coding Manager, with additional leadership from the Director of Coding Operations and System HIM Director. Responsibilities • Assign codes for diagnoses, treatments and procedures according to the ICD-10-CM/PCS Official Guidelines for Coding and Reporting through review of coding critical documentation, to generate appropriate MS/APR DRG. • Extracts and abstracts required information from source documentation, to be entered into appropriate Health electronic medical record system. • Validates admit orders and discharge dispositions. • Works from assigned coding queue, completing and re-assigning accounts correctly. • Manages accounts on ABS Hold, finalizing accounts when corrections have been made, in a timely manner.


Summary Responsible for maintaining current and high-quality ICD-10-CM/PCS coding for all Inpatient diagnoses and procedural occurrences, through the review of clinical documentation and diagnostic results, with a consistent coding



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