
Inpatient Coder
Posted 1 day ago

Posted 1 day ago
This is a fully remote position, open to applicants in United States.
• Evaluate clinical documentation and assign as well as sequence diagnostic and procedural codes for inpatient facility records.
• Confirm MS-DRG calculations to ensure accurate representation of documented diagnoses and procedures.
• Analyze and assess documentation for precise clinical data abstraction and adherence to regulatory compliance.
• Choose and sequence ICD-10-CM and PCS codes for specific patient categories, including acute inpatient records for non-teaching facilities.
• Review clinical records to guarantee that MS-DRG assignments correctly reflect documented diagnoses and procedures.
• Abstract clinical data following documentation review to substantiate diagnoses, procedures, and discharge disposition.
• Serve as a resource for client staff regarding data integrity, clarification, and compliant coding practices, including provider queries.
• Engage in client and staff meetings, training sessions, and conference calls.
• Keep up-to-date with coding guidelines, regulations, protocols, and third-party requirements.
• Take part in continuing education initiatives.
• Support Savista’s Compliance Program and handle confidential patient and client information appropriately.
• Carry out other related duties as assigned or requested.
• Must successfully complete a pre-employment skills assessment.
• Hold an active AHIMA credential, such as RHIA, RHIT, CCS, or a related credential.
• Possess an active AAPC credential, including COC (formerly CPC-H), CCS-P, CPC, or a related specialty credential.
• Have two (2) years of recent and relevant hands-on coding experience with Acute Inpatient records.
• Maintain current knowledge of ICD-10-CM and PCS, coding guidelines, government regulations, protocols, and third-party coding/billing requirements.
• Understand HIPAA privacy and security regulations.
• Demonstrate the ability to maintain strict confidentiality for patient and provider information.
• Participate in continuing education activities to enhance knowledge, skills, and maintain current credentials.
Sentara Health
Winning Assistants LLC
Winning Assistants LLC
Leer
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