Facility Inpatient Acute Care Medical Coder

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

📋 Description

• Analyze medical records to pinpoint relevant diagnoses and procedures.

• Identify the principal diagnosis and principal procedure, alongside other diagnoses and procedures in accordance with UHDDS standards.

• Ensure accurate DRG assignment.

• Extract information from medical records following client-specific guidelines.

• Achieve productivity and quality performance benchmarks.

• Input coded charts in real-time utilizing Aquity applications during the designated shift.

• Request physician clarification on any ambiguous or conflicting documentation.

• Engage in team meetings and mandatory training sessions.

• Provide training or shadowing support for fellow coders as needed.

• Adapt to work across various clients to fulfill classification hour requirements.

• Contribute to Coding Roundtables by presenting coding and Health Information Management topics, articles, and current issues.

• Stay updated on Coding Clinic, CPT Assistant, and Official Guidelines for Coding and Reporting.

• Complete assigned educational modules.

• Foster effective and professional communication while enhancing a positive company image.

⛳️ Requirements

• CCS coding credential is mandatory.

• A minimum of 3 years of recent and relevant inpatient coding experience is necessary.

• At least three years of experience coding inpatient facility records for large acute care, Level 1 trauma centers.

• Experience with inpatient medical and surgical admissions is required.

• Must successfully complete an inpatient coding proficiency examination.

• Solid understanding of medical terminology, anatomy, physiology, surgical technology, pharmacology, and disease processes.

• Comprehensive knowledge of ICD-10-CM and CPT coding principles and guidelines.

• Familiarity with reimbursement systems and federal, state, and payor-specific regulations and policies related to documentation, coding, and billing.

• Excellent verbal and written communication skills.

• High coding accuracy and meticulous attention to detail are essential.

• Strong proficiency in Google Suite is required.

• Must maintain current and active coding credentials.

🏝️ Benefits

• Healthcare coverage.

• 401(k) plan.

• Paid time off.

• Remote working environment.