Inpatient Lead Coder

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

📋 Description

• Assigns the correct codes to accurately reflect all diagnoses and procedures during patient encounters.

• Extracts necessary data to enter into the Medical Center's computerized database.

• Transforms all patient visits into suitable DRG assignments to maximize reimbursement.

• Supports the IP Coding Manager with administrative responsibilities.

• Reviews patient medical records and abstracts medical information that identifies all diagnoses and procedures.

• Codes diagnoses, procedures, and relevant modifiers from medical record documentation utilizing ICD-10-CM/PCS.

• Collaborates with the CDCI team to clarify information within medical records.

• Ensures a coding accuracy rate of 95% or higher.

• Works with HIM to monitor missing provider documentation.

• Keeps professional skills updated by participating in in-service programs, conferences, and workshops.

⛳️ Requirements

• At least five years of inpatient coding experience in a Level 1 Trauma, Teaching Facility.

• Must possess inpatient CCS, RHIT, or RHIA credentials from AHIMA.

• Proficient in medical terminology, ICD-10-CM/PCS, and CPT-4 Coding conventions.

• Understanding of basic concepts related to human anatomy, physiology, and pathology.

• Experience with ICD-10-CM/PCS for coding diagnoses and procedures.

• Strong familiarity with health records, computer systems, Microsoft applications, data integrity, and processing techniques.

• Excellent organizational skills, capable of multi-tasking, prioritizing important tasks, and ensuring follow-through.

• Ability to work with precision and a keen attention to detail.

• Capability to resolve problems effectively using job knowledge and current policies/procedures.

• Must maintain strict confidentiality of all personal and health-sensitive information and ensure compliance with HIPAA rules and regulations.

• Strong communication skills, both verbal and written.

🏝️ Benefits

• Health insurance

• Dental insurance

• Vision insurance

• Pharmacy benefits

• Discretionary annual bonuses

• Merit increases

• Flexible Spending Accounts

• 403(b) savings matches

• Paid time off

• Career advancement opportunities

• Resources to support employee and family well-being