Inpatient Facility Medical Coder

2 weeks ago


Seattle, Washington, United States CCG Business Solutions, LLC Full time
Job Description

To excel in this role, you will independently and efficiently perform the responsibilities of assigning accurate diagnosis and procedures codes to patients' health information records for various facilities, including Emergency Department, Ambulatory Surgical Center, Hospital Ambulatory Surgical Center, Observations, Inpatient, and other selected facility records.

Key Responsibilities:
  • Proficiently review medical records and translate clinical information into coded data.
  • Identify and assign appropriate codes for diagnoses, procedures, and other services rendered, while validating 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.
  • 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.
  • Demonstrate knowledge and understanding of CMS HCC Risk Adjustment coding.
  • Routinely perform chart analysis to identify areas of the medical record that contain incomplete, inaccurate, or inconsistent documentation.
  • Review and verify chart information, including POS and attending provider.
  • Meet and maintain department standards for productivity and quality.
Requirements:
  • Minimum five (5) years of experience in coding, with four (4) years in 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.
  • One of the following certifications: Registered Health Information Technician Certificate, Coding Specialist Certificate, Registered Health Information Administrator Certificate.
  • Advanced knowledge of disease processes, diagnostic and surgical procedures, ICD-10-CM, ICD-10-PCS, HCPCS/CPT classification systems, health information/medical record department responsibilities, and government regulations.
  • Fluent in English, with skill and proficiency in oral and written communication.
  • Skills in time management, organization, and analytical skills.
  • Ability to manage a significant workload and work efficiently under pressure, meeting established deadlines with minimal supervision.
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 systems and software, including EMR(s), Microsoft Office Suite, and other software programs.
  • Ability to evaluate, analyze, and 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.


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