Pre-Bill Coder Specialist – Inpatient
Advocate Aurora Health
full-time
Posted on:
Location Type: Remote
Location: Alabama • Alaska • United States
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Salary
💰 $29 - $43 per hour
About the role
- Prioritizes and codes and abstracts high dollar charts, day after discharge, as well as interim charts
- Reviews complex medical documentation at a highly skilled and proficient level from clinicians, qualified health professionals and hospitals to assign diagnosis and procedure codes utilizing ICD CM/PCS, CPT, and HCPCS
- Assigns and ensures correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations utilizing an EMR and/or Computer Assisted Coding software
- Assigns codes for present on admission, research, Hospital acquired Conditions and Core Measure Indicators for all diagnoses both concurrently and post-discharge
- Collaborates with other departments to clarify pre-bill coding documentation issues such for inpatient and outpatient to insure reimbursement and clinical outcomes
- Works claim edits for all patient types and may codes consecutive/combined accounts to comply with the 72-hour rule and other account combine scenarios
- Completes informal peer-review on inpatient and outpatient coders
- Tracks and trends quality information from internal and external sources to partner with the educational team on opportunities
- Communicates with Medical Staff, CDI, Post -bill for documentation clarification
- Utilizes EMR communication tools to track missing documentation on inpatient queries that require follow-up to facilitate coding in a timely fashion
- Partners with HIM, Patient Accounts, and Integrity, when needed, to help resolve issues affecting reimbursement and outcomes
- Maintains current knowledge of changes in Inpatient coding and reimbursement guidelines and regulations as well as new applications or settings for coding all types of patients
- Must be able to use critical decision-making skills to determine when to query to clarify documentation independently for outcomes, reimbursement and benchmarking
Requirements
- Two Year associate degree or equivalent work experience
- Five to Seven years of inpatient coding experience in an acute care inpatient setting in an Academic Inpatient Care Tertiary Facility
- Advanced proficiency of ICD, CPT and HCPCS coding guidelines
- Advanced knowledge of medical terminology, anatomy and physiology
- Excellent computer skills including the use of Microsoft office products, electronic mail, including exposure or experience with electronic coding systems or applications
- Excellent organization, prioritization, and reading comprehension skills
- Excellent analytical skills, with a high attention to detail
- Ability to work independently and exercise independent judgment and decision making
- Ability to meet deadlines while working in a fast-paced environment
- Ability to take initiative and work collaboratively with others
Benefits
- Paid Time Off programs
- Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
- Flexible Spending Accounts for eligible health care and dependent care expenses
- Family benefits such as adoption assistance and paid parental leave
- Defined contribution retirement plans with employer match and other financial wellness programs
- Educational Assistance Program
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
ICD CM codingICD PCS codingCPT codingHCPCS codingmedical terminologyanatomyphysiologycritical decision-makingcoding compliancepeer-review
Soft Skills
organizationprioritizationreading comprehensionanalytical skillsattention to detailindependent judgmentdecision makinginitiativecollaborationcommunication