Inpatient/Outpatient Coder

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

📋 Description

• Abstract and code inpatient and outpatient medical records in a compliant, accurate, and complete manner.

• Group accounts to the correct DRG to enhance data quality and ensure accurate, timely reimbursement.

• Verify, review, analyze, and abstract medical information effectively.

• Investigate missing medical information and consult with physicians regarding unclear, incomplete, or conflicting documentation.

• Assign precise diagnostic and procedural codes.

• Escalate documentation issues to management as necessary.

• Ensure valid admission orders are documented prior to coding and inform leadership when orders are absent or unsigned.

• Maintain a coding accuracy rate of at least 95%, validated through audits.

• Code a minimum of 3.5 to 4 inpatient accounts per hour.

• Input abstracted information into the abstracting module.

• Utilize HIM coding software systems and encoder tools effectively.

• Collaborate with the Coding Director regarding coding inquiries.

• Act as a resource for fellow coders.

• Manage workload concerning accuracy, timeliness, and deadlines.

• Stay updated with Coding Clinics and CPT Assistants.

• Participate in performance improvement activities, committees, projects, meetings, and training sessions.

• Serve as a preceptor when requested.

• Undertake additional responsibilities as assigned.

⛳️ Requirements

• Graduate from an AHIMA coding program, RHIT, or RHIA program.

• AS or BS degree is preferred.

• A minimum of 3-5 years of inpatient coding experience is desired, or an equivalent combination of education and experience.

• High proficiency in inpatient coding, DRG grouping, and ICD-10 diagnostic and procedural code assignment.

• Competence in coding various outpatient record types.

• Achieve a passing score on the company coding test.

• Basic understanding of HIM principles and departmental functions.

• Advanced knowledge of ICD-10-CM and ICD-10-PCS coding rules and conventions.

• In-depth understanding of medical terminology, anatomy and physiology, disease processes, and pharmacology.

• Ability to read and analyze medical record documentation for accurate and complete coding.

• Comprehensive knowledge of the encoder system.

• Experience and familiarity with the DRG/MSDRG grouping system.

• Ability to abstract information from medical records for indices and statistical reporting.

• Excellent skills in PC and software usage.

• Capability to work independently.

• CCS certification is mandatory.

• CPC, RHIT, or RHIA credentials from AHIMA or AAPC are required.

• Visual and auditory abilities must be intact.

• Ability to perform repetitive tasks and motions.

🏝️ Benefits

• PRN position offering 10 to 15 hours of work per week.

• Minimum of 10 hours of formal education and 10 hours of informal education.