Inpatient Coder Specialist
4 days ago
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.
Key Responsibilities- 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), Severity of Illness (SOI), and 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, including online tools and references, to assign International Classification of Diseases, Clinical Modification (ICD-CM) diagnosis and procedure codes, MS-DRG, APR DRG, POA, SOI, and 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, American Health Information Management Association (AHIMA) Standards of Ethical Coding, and Revenue Excellence/HM coding procedures and guidelines.
- 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.
- 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.
- Extensive, comprehensive working knowledge of medical terminology, Anatomy and Physiology, diagnostic and procedural coding, and MS-DRG, APR DRG assignment is required.
- Ability to use a standard desktop/laptop, email, and other Windows applications, if needed, Internet, and web-based training tools is preferred.
The Inpatient Coder will work in a 100% virtual, collaborative, shared leadership environment with minimal supervision and will be required to exercise independent judgment. The ability to adapt to change and be flexible with work priorities and interruptions is essential.
Trinity Health is an Equal Opportunity Employer and is committed to diversity, equity, and inclusion in all that we do. We welcome applicants from diverse backgrounds and perspectives.
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