Inpatient Coder

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

📋 Description

• Evaluate medical record documentation and assign ICD-10-CM and ICD-10-PCS codes.

• Allocate MS-DRG or APR-DRG based on the classification of the payer.

• Extract specific and necessary data elements for inpatient cases.

• Gather, review, and analyze clinical information for billing, POA and PSI indicators, research, statistics, financial planning, compliance, and marketing.

• Confirm patient discharge disposition and assign suitable present-on-admission indicators.

• Assess case complexity utilizing clinical knowledge of diseases, procedures, diagnostics, treatments, and prognosis.

• Investigate complex diagnoses and procedures to ensure the application of accurate codes.

• Document principal diagnosis, co-existing conditions, and principal procedure for each admission.

• Collaborate with the CDI team and query providers to enhance documentation clarity.

• Arrange codes to accurately reflect the Severity of Illness and Risk of Mortality.

• Engage with Clinical Documentation Specialists and DRG Compliance Auditors to secure accurate documentation.

• Utilize Optum CAC in alignment with established workflows.

• Participate in required meetings, in-services, educational sessions, and staff meetings.

• Stay updated with coding guidelines and the quarterly AHA Coding Clinic.

• Uphold accuracy, quality, productivity, and key performance indicator standards.

⛳️ Requirements

• Certified Coding Specialist (CCS), Registered Health Information Management Technician (RHIT), or Registered Health Information Administrator (RHIA).

• Member of AHIMA or AAPC in good standing, with dues paid and required continuing education completed.

• A minimum of one (1) year of recent facility coding experience.

• Per diem candidates should have at least three (3) years of recent inpatient coding experience.

• High School Diploma or GED.

• Must achieve a score of 80% or above on departmental coding testing.

• Experience in a major academic medical center and familiarity with ICD-10-CM/PCS is preferred.

• Proficiency in Microsoft Office, particularly Word, Excel, and PowerPoint is preferred.

• Strong computer skills and prior experience with computer-assisted coding and encoder/grouper is preferred.

• Must adhere to official coding guidelines, AHIMA Coding Ethics, AHA Coding Clinics, CMS directives and bulletins, as well as applicable regulations.

• Must maintain the necessary quality and productivity standards along with key performance indicators.

🏝️ Benefits

• Equal Opportunity/Affirmative Action employer.

• Required annual learning programs and continued education.

• In-services, staff meetings, educational sessions, and opportunities for professional development.