Inpatient Coder

📋 Description

• Ability to interpret medical record documentation for the accurate assignment of codes for both concurrent and discharged accounts across various specialties.

• Meets the minimum criteria for production and quality on a monthly basis.

• Requires familiarity with code sequencing for grouper-related payers, with a focus on detail to minimize rework and waste, particularly in charge capture assessments.

• Requires comprehension and application of M.E.A.T. criteria (i.e., monitoring, evaluation, assessment, treatment) utilizing the ICD 10 CM transaction data set to accurately capture diagnoses.

• Analyzes high-risk encounters to identify any missing charges before the completion of encounters (i.e., absent charges from anesthesia, surgery) during manual charge capture.

• Understands the complexities of billing requirements and integrates payer-specific trends into daily reviews to decrease “take backs” associated with unclear or unsubstantiated care provided.

• Requires a strong knowledge of ICD 10 CM, CPT 4, and modifier application, with the expectation to maintain relevant certifications (i.e., CCS, CPC, RHIT, or RHIA) and apply ICD 10 CM Coding Guidelines for both inpatient and outpatient encounters.

• Facilitates improvements to clinical documentation through query interactions to ensure that captured information supports the level of service provided, focusing on chronic conditions, hierarchical condition categories (HCC), and risk adjustment factors (RAF).

⛳️ Requirements

• A minimum of an Associate's degree is required.

• Knowledge of Medical Terminology, Anatomy, and Physiology is essential.

• One of the following certifications is required: CPC, CCS, RHIT, RHIA, COC.

🏝️ Benefits

• Health insurance.

• Paid time off.

• Professional development.