Remote Inpatient Coder

Remote Ip CdI Department: Health Information Management

Under indirect supervision, is responsible for accurate coding of Inpatient accounts for an Academic Level I Trauma facility. Will code Inpatient procedures, diagnoses and conditions, working from the appropriate documentation in the medical record. Required to work with Cerner/Clin Trac, 3M 360 CAC. All work is carried out in accordance with the rules, regulations and coding conventions of the American Hospital Association (Coding Clinic), ICD-10-CM, Centers for Medicare and Medicaid Services (CMS), and Individual State Health Planning and Development and organizational/institutional coding guidelines.

Required Skills:

• Accurately assign and sequence ICD-10 diagnostic and ICD-10 procedure codes to inpatient records for use in reimbursement and data collection.
• Minimum of 5 years IP Trauma Level I facility coding experience required.
• Ensure all accounts are coded correctly and promptly, which will provide an accurate MS-DRG or APR-DRG for appropriate reimbursement.
• Verify patient information to identify any discrepancies and ensure that all codes and any other abstracted information is applied to the appropriate patient's encounter.
• Assess documentation and if necessary query the physician for additional information when indicated to clarify a diagnosis, symptom, or any reason for services provided.
• Trauma Level I / Teaching Facility / Burn Center experience required Transplants, rehab, cardiovascular, pediatrics coding experience required
• Computer Savvy is a must and ability to work independently/follow workflow process instructions.
• Must have attention to detail mentality.
• Strong and prompt email communication/etiquette.

Preferred Skills:

• Must have recent IP Coding at a Level I Trauma facility and total of 5 years Trauma I experience.
• Must possess a thorough knowledge of ICD-10-CM/PCS working in a Level I Trauma facility along with coding Burns.
• Experience coding Burns.
• Recent Cerner/Clin Trac/3M360 CAC experience.
• Works the review queue on a daily basis to ensure all charts that are placed in the review queue are worked and any corrections are communicated to the facility if necessary.
• Experience working with CDI.
• Coders must maintain their current professional credentials.
• Preferred Epic Experience: Abstracting charge sessions in Charge Router

Education:

• High school diploma or equivalent required.
• Requires one of the following coding credentials: AHIMA (CCS, CCS-P, or RHIA/RHIT)
• Must be proficient with Facilities Coding Standards.
• Minimum of five (5) years' experience in Inpatient medical coding Level I Trauma.
• Working knowledge of ICD-10-CM/PCS.