Inpatient Coder

We are seeking a skilled Inpatient Coder to join our team at Trinity Health. As a key member of our coding team, you will be responsible for analyzing physician/provider documentation in Inpatient health records to determine the principal diagnosis, secondary diagnoses, principal procedure, and secondary procedures.

• Analyze physician/provider documentation in Inpatient health records to determine the principal diagnosis, secondary diagnoses, principal procedure, and secondary procedures.
• Assign appropriate Medicare Severity Diagnosis Related Groups (MS-DRG), All Patient Refined DRGs (APR), Present on Admission (POA), as well as Severity of Illness (SOI) & Risk of Mortality (ROM) indicators for Inpatient records.
• Identify Hospital Acquired Conditions (HAC), Patient Safety Indicators (PSI) to ensure accurate hospital reimbursement.
• Utilize encoder software applications, which includes all applicable online tools and references in the assignment of International Classification of Diseases, Clinical Modification (ICD-CM) diagnosis and procedure codes, MS-DRG, APR DRG, POA, SOI & ROM assignments.
• Assign appropriate code(s) by utilizing coding guidelines established by the Centers for Disease Control (CDC), ICD-CM Official Coding Guidelines for Coding and Reporting, Centers for Medicare/Medicaid Services (CMS) ICD-PCS Official Guidelines for Coding and Reporting, American Hospital Association (AHA) Coding Clinic for International Classification of Diseases, Clinical Modification, and American Health Information Management Association (AHIMA) Standards of Ethical Coding.

• Completion of an AHIMA-approved coding program or Associate's degree in Health Information Management or a related field or an equivalent combination of years of education and experience is required.
• Bachelor's degree in Health Information Management (HIM) or related healthcare field is preferred.
• Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS) is required.
• Three (3) years of current acute care or Inpatient coding experience is required.

This is a 100% virtual, collaborative, shared leadership environment with minimal supervision and the ability to exercise independent judgment.

Must be able to work concurrently on a variety of tasks/projects in physical or virtual environments that may be stressful with individuals having diverse personalities and work styles.

Must be able to spend majority of work time utilizing a computer, monitor, and keyboard.

Must be able to work with interruptions and perform detailed tasks.

Must be able to travel to various Trinity Health sites as necessary.

Must be able to comply with Trinity Health's and the Region/HM Working Remote Policy.

The above statements are intended to describe the general nature and level of work being performed by persons assigned to this classification.

They are not to be construed as an exhaustive list of duties so assigned.