Inpatient Coding Specialist
4 weeks ago
Advocate Aurora Health is seeking an experienced Inpatient Coding Specialist to join our team. As an Inpatient Coding Specialist, you will be responsible for accurately assigning and sequencing diagnoses and procedure codes using ICD 10 CM diagnosis and ICD 10 PCS procedure codes. You will review all documentation from Qualified Medical Providers to assign all significant diagnosis based on guidelines. Additionally, you will review all documentation from nurses to assign correct codes based on AHA Coding Clinic such as wound care. You must understand the reimbursement rules and quality outcomes so diagnoses can be clarified for statistical, research, SOI/ROM severity, best DRG outcome and as well as accurate assignment of present on admission (POA) indicators.
Responsibilities
Codes cases utilizing a computerized encoding software system and completes abstraction for clinical data and non-clinical data elements for community and academic hospital sites. This position is responsible for reviewing all documentation in the patient record for accurate and complete code. High dollar cases must be coded within 24 hours. High dollar cases for these coders are typically $500,000 and higher. You must be able to do a clear and concise query to the MD, when there is conflicting documentation. You must also be able to identify and place accounts to the correct status/hold when additional documentation is required for accurate and complete coding.
Requirements
Typically requires 7 years of experience in ICD-10-CM & ICD-10-PCS progressive inpatient coding experience in an integrated acute care teaching setting with proven competency in lower level inpatient records. You must have a strong understanding of current Official Coding Guidelines and methodologies, MS-DRGs, APR-DRGs, the ICD-10-CM/PCS coding systems and conventions. You must also have extensive knowledge of medical terminology, anatomy and pathophysiology, pharmacology and ancillary test results. You must be proficient with encoder software and other coding applications/tools. You must have strong communication skills (interpersonal, verbal and written). You must have strong organizational and analytical thinking skills. You must be proficient with Microsoft Office applications (Outlook, Word, Excel). You must be self-motivated and demonstrated capacity to work independently without close supervision. You must be able to quickly analyze a situation, problem solve and prioritize. You must have knowledge of external auditing programs; ex.: Recovery Audit Contractor (RAC), Office of the Inspector General (OIG), third-party payors. You must maintain required continuing education credits and certification(s).
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Inpatient Coding Specialist
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Oak Brook, Illinois, United States Advocate Aurora Health Full timeJob Title: Inpatient Coding SpecialistJoin our team of dedicated professionals at Advocate Aurora Health as an Inpatient Coding Specialist. In this role, you will be responsible for accurately assigning and sequencing diagnoses and procedure codes using ICD 10 CM diagnosis and ICD 10 PCS procedure codes.Key Responsibilities:Review and abstract inpatient...
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