Inpatient Facility Medical Coder
4 weeks ago
To independently and efficiently perform the responsibilities of assigning accurate diagnosis and procedures codes to patients' health information records for various healthcare settings, including Emergency Department, Ambulatory Surgical Center, Hospital Ambulatory Surgical Center, Observations, Inpatient, and other selected facility records. Maintain an acceptable level of performance in quality and productivity for ICD-10-CM, ICD-10-PCS, and HCPCS/CPT classification and nomenclature systems. All work will be carried out in accordance with established coding guidelines and regulations, including those set by the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS).
Key Responsibilities:
- Proficient in medical record review and translating clinical information into coded data. Identify and assign appropriate codes for diagnoses, procedures, and other services rendered, while also validating any Computer Assisted Coded (CAC) assignments for dual coding.
- Utilize the Code Base Charge Trigger system (CBCT) and OPTUM 360 EncoderPRO software system for professional surgical services, analyzing and maintaining systems accuracy, validity, and meaningfulness for both professional and facility services.
- Abstract and enter clinical data elements as defined by the needs of the organization, identifying and assigning principal diagnosis and procedure codes, sequencing them as needed for proper Ambulatory Payment Classification (APC), Medicare Severity-Drug Related Group (MS-DRG), and All Patients Refined Diagnosis Related Groups (APR-DRG) assignment.
Requirements:
- Minimum five (5) years of experience in coding with four (4) years inpatient facility coding or minimum four (4) years in the Kaiser Coding Auditor position with proficiency in inpatient coding.
- High School Diploma or General Education Development (GED) required.
- 1 from the following list: Registered Health Information Technician Certificate, Coding Specialist Certificate, or Registered Health Information Administrator Certificate.
Preferred Qualifications:
- Minimum five (5) years of experience in health information/Medical record environment, with facility coding experience that includes Medicare reimbursement guidelines.
- Degree in Health Information Management.
- Proficient knowledge and skill in the use of a computer and related system and software to include: EMR(s), Microsoft Office Suite, and other software programs.
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