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Inpatient Medical Coding Specialist

2 months ago

Alpharetta, United States The LaSalle Group Full time
Inpatient Medical Coder Job Summary

We are seeking an experienced Inpatient Medical Coder to join our team at LaSalle Network. The successful candidate will be responsible for reviewing clinical documentation to assign and sequence diagnostic and procedural codes for specific patient types to meet the needs of hospital data retrieval for billing and reimbursement.

Key Responsibilities:
  • Select and sequence ICD-10 and/or PCS codes for designated patient types, including Acute Inpatient, Observation/Rehabilitation/Psychiatric/SNF, Ambulance and Ambulatory Surgery, Wound Care, Emergency Department, Ancillary (Diagnostic)/Recurring, Interventional Radiology, and Hospital Clinic.
  • Review and analyze clinical records to ensure that MSDRG/APC assignments accurately reflect the diagnoses/procedures documented in the clinical record.
  • Abstract clinical data from the record after documentation review to ensure that it is adequate and appropriate to support diagnoses, procedures, and discharge disposition is selected.
  • Complete assigned work functions utilizing appropriate resources.
  • May act as a resource with client staff for data integrity, clarification, and assistance in understanding and determining appropriate and compliant coding practices, including provider queries.
  • Maintain strict patient and provider confidentiality in compliance with HIPAA.
  • Participate in client and company staff meetings, trainings, and conference calls as requested and/or required.
  • Maintain current working knowledge of ICD-10 and/or PCS and coding guidelines, government regulations, protocols, and third-party requirements regarding coding and/or billing.
  • Participate in continuing education activities to enhance knowledge, skills, and maintain current credentials.
Requirements:
  • Active AHIMA (American Health Information Association) credential, including RHIA, RHIT, CCS, CCA, or an active AAPC (American Academy of Professional Coders) credentials COC (formerly CPC-H), CCS-P, or CPC, or related specialty credential.
  • 3 years of recent and relevant hands-on coding experience within multiple inpatient specialties.
  • Knowledge of medical terminology, anatomy, and physiology, pharmacology, pathophysiology, as well as ICD-10 and PCS code sets.
  • Ability to consistently code at 95% threshold for both accuracy and quality.
  • Associate degree in HIM or healthcare-related field, or combination of equivalent education and experience preferred.
  • Recent and relevant experience in an active production coding environment strongly preferred.
  • Experience with multiple Electronic Medical Record software applications, including EPIC, Cerner, and Meditech.
  • Experience with multiple Encoder software applications, including 3M and TruCode.