Coder II – Inpatient

This is a fully remote position, open to applicants in Texas.

📋 Description

• Reviews and analyzes health record documentation to accurately determine relevant primary and secondary diagnoses and procedures that necessitate code and DRG assignments for proper billing of inpatient records.

• Delivers presentations on Admission indicators and computes the correct MS-DRG, Severity of Illness, and Risk of Mortality levels in accordance with official coding guidelines, THR coding compliance policies and procedures, CMS, and other third-party payers to guarantee accurate reimbursement.

• Evaluates high-risk quality cases to effectively initiate the pre-bill coding review process.

• Extracts and compiles clinical data elements such as attending physician, surgeon, consultants, ED physician, birth weight, etc., in alignment with THR guidelines.

• Validates and initiates corrections on patient status, admission and discharge dates, and discharge disposition for the calculation of the correct DRG and length of stay to ensure accurate reimbursement.

• Queries physicians when documentation in the record is ambiguous, inadequate, unclear, or incorrect for coding and compliance purposes.

• Collaborates with Clinical Documentation Specialists to enhance coding and documentation practices.

• Demonstrates and maintains adequate productivity and coding quality metrics as detailed in the job description.

• Exhibits and sustains coding proficiency by keeping up-to-date with coding guidelines as published in Coding Clinic.

• Completes all THR training and educational requirements in a timely manner and maintains credentials by fulfilling assigned continuing education credits as per THR Coding Compliance requirements.

⛳️ Requirements

• A High School Diploma or equivalent is mandatory.

• Completion of training in ICD-10 CM/PCS (documentation required during the interview).

• A competency level of 95% accuracy is required.

• An Associate’s Degree in a health information-related field is preferred.

• A minimum of 2 years of inpatient coding experience in an acute hospital setting is required.

• AHIMA or AAPC coding credentials (CCS, CCS-P, CCA, CPC) must be obtained upon hire.

• RHIT – Registered Health Information Technician is preferred upon hire.

• RHIA – Registered Health Information Administrator is preferred upon hire.

• Strong analytical and interpretation skills for applying coding guidelines and principles to ensure correct code assignment and proper sequencing of diagnoses and procedures.

• Ability to apply the definition of principal diagnosis for accurate coding, MS-DRG, and POA assignments.

• Comprehensive knowledge of ICD-10-CM/PCS diagnosis and procedure coding guidelines, DRG, and POA assignment.

• Moderate skills in MS Office Suite, encoder software, and computer-assisted coding software.

• Proven ability to effectively utilize coding software and coding reference materials to achieve accurate coded data.

• Strong oral and written communication skills with the capability to create clear documentation queries for physicians.

🏝️ Benefits

• $5000 Sign-on Bonus

• 401k

• PTO

• Medical

• Dental

• Paid Parental Leave

• Flex Spending

• Tuition Reimbursement

• Student Loan Repayment Program

• Several other benefits