Inpatient Coding Specialist

5 days ago

Nashville, Tennessee, United States Accuity Full time
Job Title: Inpatient Coder II

Accuity is seeking a highly skilled Inpatient Coder II to join our team. As a key member of our coding department, you will play a critical role in ensuring the accuracy and compliance of our coding practices.

Job Summary:

The Inpatient Coder II will be responsible for evaluating inpatient medical records and accurately assigning the appropriate ICD-10 CM/PCS codes, Present on Admission (POA) indicators, and relevant DRGs. This role requires a strong understanding of nationally recognized coding guidelines and the ability to research opportunities to improve documentation.

Key Responsibilities:
  • Assigns appropriately sequenced and compliant ICD-10 CM/PCS codes as documented in the electronic medical record (EMR).
  • Applies definition of principal diagnosis for proper assignment of MS-DRGs, APR-DRGs, and POA indicators using a designated encoder/grouper, while ensuring compliance with nationally established coding guidelines.
  • Utilizes selected encoder and/or computer-assisted coding software (CAC) set forth by client and Accuity.
  • Abstracts pertinent data from documentation in accordance with client, state, and federal reporting requirements.
  • Identifies instances in which provider clarification is necessary to ensure quality, completeness of documentation, and optimal, compliant reimbursement and communicates to appropriate channels.
  • Updates and/or recommends coding changes as necessary due to additions or revisions in physician documentation and Internal Controls and Quality.
  • Maintains required standards of performance in both coding accuracy and productivity to meet client turnaround and satisfaction.
  • Records accurate production logs, time keeping, and other relevant tracking information daily.
  • Performs additional job-related duties as assigned from coding management within pre-determined schedule.
  • Stays current with most recent coding changes and guidance from CMS, AHA Coding Clinics, AHIMA, Official Inpatient Coding Guidelines, as well as internal education from Physicians, CDI and Coding leadership.
  • Completes required Continuing Education hours to maintain credential requirements.
  • Participate in Coding department meetings and other events as assigned.
  • Maintains a collegial working relationship with other departments.
  • Accepts coaching, training, and education on a routine basis as needed.
Requirements:
  • Minimum HS Diploma or GED required
  • Coding credential required from AHIMA (RHIA, RHIT, CCS) or AAPC (CPC, CIC)
  • Associate's or bachelor's degree in HIM or coding preferred
  • Minimum 5 years of current Inpatient facility coding experience; minimum 2 years Level 2 trauma center and/or 2 years academic teaching medical center
  • Extensive knowledge of ICD-10 guidelines and coding regulations
  • Demonstrated knowledge in DRG methodologies and compliant reimbursement practices
Knowledge, Skills, and Abilities:
  • Proficiency in utilizing a variety of EMR systems, EPIC experience preferred
  • Independently research coding questions and utilize Accuity's internal educational resources
  • Ability to use a PC in a Windows environment, including MS Word, MS Excel, MS Teams
  • Autonomous, focused individual able to work remotely or on-site in a rapidly growing organization

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