AI Strategy & Transformation Lead
Rockwell Automation
Inpatient Coder II, HB Coding
Northwestern Medicine
full-time
Posted on:
Location: Illinois, Iowa, Wisconsin • 🇺🇸 United States
Visit company websiteSalary
💰 $28 - $39 per hour
Job Level
Mid-LevelSenior
About the role
- Utilizes technical coding expertise to assign appropriate ICD-10-CM and ICD-10-PCS codes to complex inpatient visit types
- Assigns Present on Admission (POA) values to all secondary diagnoses for quality metrics and reporting
- Thoroughly reviews provider notes and findings from Clinical Documentation Improvement (CDI) nurses
- Utilizes resources within CAC software to review documentation and select or assign ICD-10-CM/PCS codes using autosuggestion or annotation features
- Reviews Discharge Planning and nursing documentation to validate and correct Discharge Disposition affecting reimbursement
- Utilizes knowledge of MS-DRG, APR-DRG, AHRQ Elixhauser risk adjustment to sequence ICD-10-CM codes within top 24 fields
- Collaborates with CDI on approximately 45% of discharges regarding final MS or APR DRG and comorbidity diagnoses
- Educates CDI on regulatory guidelines, Coding Clinics and conventions
- Interprets health record documentation to determine Principal Diagnosis, secondary diagnoses and procedures
- Follows ICD-10-CM and ICD-10-PCS Official Guidelines, Coding Clinic guidance, coding conventions and instructional notes
- Writes appeal letters in response to payor DRG downgrade notices
- Resolves Nosology Messages/Alerts and Coding Validation Warning/Errors
- Meets established coding productivity and quality standards
Requirements
- 3 years of inpatient coding experience in an acute healthcare setting
- RHIA, RHIT or CCS credential
- AHIMA membership
- Deep understanding of ICD-10-CM diagnosis coding and ICD-10-PCS procedure coding
- Strong foundation in coding conventions, instructions, Official Guidelines for Coding and Reporting and Coding Clinics
- Deep understanding of disease process, anatomy/physiology, pharmacology and medical terminology
- Experience utilizing CAC (Computerized Assisted Coding) software and resolving Nosology Messages/Alerts and Coding Validation Warning/Errors
- Ability to write appeal letters in response to payor DRG downgrade notices
- Meets established coding productivity and quality standards
- Preferred: Associate’s degree in related field
- Preferred: RHIA, RHIT with CCS or CDIP/CCDS credential
- Preferred: 4 years of inpatient coding experience in a teaching hospital
