Inpatient HIM Coder Analyst III-Remote within the State of Texas

Inpatient Coding Specialist - Pediatrics | Remote Texas | $10,000 Sign-On Bonus

Location: Remote

Time Type: Full Time

Department: HIM Coding

Shift: First Shift (United States of America)

Standard Weekly Hours: 40

Summary:

The HIM Coder Analyst III requires superior knowledge of and skill in applying International Classification of Diseases and Procedures (ICD), and Current Procedural Terminology (CPT) code sets and associated Medicare/Medicaid rules and guidelines. Reviews and interprets patient medical record documentation to identify pertinent diagnoses and procedures and assigns ICD-9-CM, ICD-10-CM/PCS and CPT-4 codes accurately and timely to the highest level of specificity based upon physician documentation for inpatient, observation and outpatient ambulatory procedures/treatment room records.

Validates the coded data to one or more Diagnosis Related Groupers (DRG) and validates the Present on Admission (POA) indicators for accuracy. Primarily codes more complex and difficult inpatient medical records. Identifies and abstracts specified information from the patient medical record and enters data into the electronic health record system for billing and use in organizational reporting.

Performs extended length of stay coding for interim cycle billing. During in-house interim coding, reviews for documentation opportunities and queries with Clinical Documentation Improvement Specialists to clarify confusing, incomplete, or conflicting information and obtain any needed additional documentation in real time.

Assists with coding outpatient surgery, observation, outpatient ancillary clinic, specialty clinic, and emergency room record visits as necessary. Minimum expected accuracy rate for all coding and DRG assignments is 95% or above. Communicates with physicians and other providers regarding documentation requirements and collaborates with Clinical Documentation Specialists or Quality Auditors on patient cases regarding documentation needs and requirements, and coding and DRG assignment accuracy.

Maintains current knowledge of coding, DRG, and documentation changes, rules, and guidelines.

Education & Experience:

• RHIA, RHIT required, with CCS highly desired, or CCS with two (2) years minimum full-time current and continuous ICD-10-CM/PCS hospital inpatient medical record coding and prospective payment system experience with DRG assignment.
• Outpatient observation and ambulatory surgery with CPT-4 coding and abstracting experience preferred.
• Pediatric coding experience highly desired.
• Technically competent and fluent knowledge in navigation of electronic health record applications, automated encoders, and other software applications and hardware required for the job role.
• Experience using Microsoft Office Excel and Word highly desired.
• Ability to work well independently and productively with minimal guidance and without direct supervision.
• Must be highly detail-oriented and possess strong organizational, interpersonal, and communication skills.
• Ability to maintain confidentiality.
• Goal-oriented, flexible, and energetic.
• Demonstrates superior coding and critical thinking skills.
• Ability to solve problems appropriately using job knowledge and current policies and procedures.
• Demonstrated coding knowledge and proficiency is required through on-site skills assessment with a passing score of 90% accuracy prior to hire.

Certification/Licensure:

• Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS) required.
• Required to provide current American Health Information Management Association (AHIMA) continuing education certification records.