Inpatient Facility Medical Coder

1 week ago


Clackamas, Oregon, United States Softpath System Full time

Job Summary

Candidates must reside in the United States to be considered for this position. We are seeking a skilled Inpatient Facility Medical Coder to join our team at Softpath System. The successful candidate will be responsible for independently and efficiently performing the responsibilities of assigning accurate diagnosis and procedures codes to patients' health information records for various facilities. The ideal candidate will have a strong understanding of ICD-10-CM, ICD-10-PCS, and HCPCS/CPT classification and nomenclature systems, as well as the ability to communicate effectively with physicians and other healthcare professionals.

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
Utilize the Code Base Charge Trigger system (CBCT) and OPTUM 360 EncoderPRO software system for professional surgical services
Abstract and enter clinical data elements as defined by the needs of the organization
Identify and assign 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
Demonstrates knowledge and understanding of CMS HCC Risk Adjustment coding
Routinely performs chart analysis to identify areas of the medical record that contain incomplete, inaccurate, or inconsistent documentation

Requirements

Minimum five (5) years of experience in coding with four (4) years inpatient facility coding or minimum four (4) years in the Healthcare 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, Registered Health Information Administrator Certificate
Previous experience with EMR patient documentation system with intermediate knowledge and skill in the use of a computer
Advanced knowledge of disease processes, diagnostic and surgical procedures, Inpatient ICD-10-CM, ICD-10-PCS, HCPCS/CPT classification systems, health information/medical record department responsibilities with knowledge of government regulations and areas of scrutiny for potential fraud and abuse issues
Fluent in English, demonstrating skill and proficiency in oral and written communication
Skills in time management, organization, and analytical skills
Ability to manage a significant workload and to work efficiently under pressure meeting established deadlines with minimal supervision
Ability to use independent thought and judgment
Bides by the Standards of Ethical Coding as set for by the American Health Information Management Association (AHIMA)
Meets and maintains department standards for performance, productivity, and quality

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
Ability to evaluate, analyze, develop information regarding mathematical statistics and percentages that compare findings trends and outcomes related to productivity and/or medical record audits
Extensive knowledge of ICD-10 coding guidelines; with knowledge and demonstrated understanding of CMS HCC Risk Adjustment coding and data validation requirements

What We Offer

Softpath System offers a competitive salary and benefits package, as well as opportunities for professional growth and development. If you are a motivated and detail-oriented individual with a passion for medical coding, we encourage you to apply for this exciting opportunity.



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