Medical Records Coder Inpatient Registry

1 week ago


New Lenox, United States Silver Cross Hospital Full time

Silver Cross Hospital is an extraordinary place to work. We're known for our culture of excellence and delivery of unrivaled experiences for our patients, their families, the communities we serve…and for each other. Come join us It's the way you want to be treated.

Position Summary: Codes accurately and productively with abstraction to assigned medical records meeting Official Coding guidelines for reimbursement, indexing and statistical requirements of the hospital. Consistently maintaining production and accuracy standards at all times.

Essential Duties and Responsibilities:

* Accurately codes and sequences all diagnoses and procedures documented in the medical record according to the established official coding guidelines, principles and appropriate reimbursement standards


* Utilizes Computer Assisted Coding software program following assigned workflows


* Accurately abstracts required data entering into Computer Assisted Coding system


* Works with Clinical Documentation Improvement Specialists to assure clear, concise and specific documentation from physicians when clarification is needed


* Issues accurate coding queries following AHIMA compliant coding query guidelines and assisting medical staff member documentation clarification


* Assists with special projects and reports as requested


* Remote position only following training and production/quality standards are met


* Promotes a clean and safe environment of care, utilizing the SAFE error prevention habits


* Provides the highest standard of privacy and confidentiality in matters involving patients, coworkers and the hospital by abiding by the Standards of Conduct



Required Qualifications:

Education and Training:

* Associate Degree in Registered Health Information Technician (RHIT) or Bachelor Degree in Registered Health Information Administrator (RHIA) or Certified Coding Specialist Certificate (CCS) required.


* MS-DRG knowledge required, APR-DRG knowledge a plus. Acute Care Hospital Coding experience required.3M Encoder experience preferred. Cerner, Meditech, Optum System experience preferred.


* Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Or Certified Coding Specialist (CCS) required.



Work Shift Details:

Various, Days or evenings shift 10 hours or more a week

Department:

MEDICAL RECORDS


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