Inpatient Coder- Remote

GHR (Rev Cycle) Remote
remote health ccs management icd medical assignment clinical documentation cm drg psi compliance procedures

Job Description Summary-Inpatient Coder

Code medical information into the organization billing/abstracting systems and to complete the coding function through established best practice processes and professional and regulatory coding guidelines. To perform Inpatient coding by assigning International Classification of Diseases-Clinical Modification (ICD-CM) and International Classification of Diseases-Procedure Coding System (ICD-PCS) codes as well as the Diagnosis Related Groups (DRG) assignment. Major Complications and Comorbidities/Complications and Comorbidities (MCC/CCs), Hospital-Acquired Condition/Patient Safety Indicator (HAC/PSI) and Quality Indicators capture as appropriate through documentation validation. To code for multiple facilities. Adhere to Coding and Compliance policies and procedures for assignment of complete, accurate, timely and consistent codes.

  • Applies ICD-CM and ICD-PCS codes to complex inpatient records, including major traumas, cardiac/open health and Neonatal Intensive Care Unit (NICU) records based on review of clinical documentation. Assigns the DRG, MCC/CCs, HACs and PSI that most appropriately reflect documentation of the occurrence of events, severity of illness, and resources utilized during the inpatient encounter and in compliance with department policies and procedures.
  • 80%
  • Review work ques daily to identify charts that need to be coded and prioritizes as per department-specific guidelines and within designated time lines. 3%
  • Identify and request physician queries following established guidelines when existing documentation is unclear or ambiguous following American Health Information Management (AHIMA) guidelines and established policy. 2%
  • Adheres to department standards for productivity and accuracy. 10%
  • Follows up on priority accounts daily for final coding. 1%
  • Identifies and trends coding issues escalating identified concerns to coding leadership. 1%
  • Interacts with team members to review for other coders. 1%
  • Demonstrates proficiency in utilizing official coding books as well as the electronic medical record, computer assisted coding/encoding software, and clinical documentation information systems to facilitate coding assignment. 1%
  • Performs other duties as assigned. 1%

Supervisory/Management Responsibilities

This is a non-management job that will report to a supervisor, manager, director or executive.

Minimum Education

Certification Program; Associate' s Degree or Coding Certificate through American Health Information Management (AHIMA) or other approved coding certification program.

Minimum Experience

4 years

Required Certifications/Registrations/Licenses

Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Coding Specialist or other approved coding credential.

Additional Job Description:

Associate/bachelor' s degree in Health Information - Preferred

Demonstrates working knowledge of medical terminology, anatomy, physiology, disease process, pharmacology and ICD-9-CM and CPT-4 coding - Required

RHIA, RHIT, CIC- (in addition to the required CCS or CCS-P) - Preferred

Pay Rate: $30-$37 per hour (based on experience)

Shifts: Monday-Friday; Thursday- Sunday (Preferred) (flexible scheduling options)

As a GHR employee, you receive the following benefits:

Weekly Pay

Direct Deposit or Pay Card option

Health Insurance

401(k) Investment Plan

Referral Bonuses

Paid Liability & Workers Comp Coverage

Flexible Scheduling Options

Personal Assistance: Before, During & After Assignments

About Us:

GHR RevCycle is looking for social workers, case managers, inpatient, and outpatient coders, and clinical documentation integrity (CDI) specialists. We are Revenue Cycle Management Staffing Experts supporting better patient outcomes and value-based care. See reviews from other healthcare professionals who worked with us.

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We are an equal opportunity employer and value diversity at our company. We do not discriminate based on race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

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