Inpatient Coder

This is a fully remote position, open to applicants in Alabama, +15 more states.

📋 Description

• Ability to understand medical record documentation to accurately assign codes for both concurrent and discharged accounts across various specialties.

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

• Requires a working knowledge of code sequencing for grouper-related payers, with a focus on detail to prevent rework and waste in the charge capture assessment component.

• 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 identify diagnoses.

• Analyzes high-risk encounters to identify accurate and/or missing charge gaps before encounter completion (i.e., missing charges from anesthesia, surgery) when manual charge capture is performed.

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

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

• Facilitates changes to clinical documentation through query interactions to ensure that the captured information supports the level of service provided, with a focus 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 required.

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

🏝️ Benefits

• Health insurance.

• Paid time off.

• Professional development.