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Coder III – Inpatient
<Undefined>Coder III analyzing inpatient health records for Texas Health Family with ICD-10 coding in a remote role. Collaborating with physicians and clinical staff for accurate documentation and coding.
About the role
Key responsibilities & impact- Provides critical assessment of the health record documentation to accurately identify pertinent primary and secondary diagnosis and procedures that require ICD-10-CM/PCS code and MS-DRG assignment for proper billing complex (Medicare, high dollars, long LOS and high CMI) inpatient records.
- Abstracts and compiles clinical data elements such as attending physician, surgeon, consultants, ED physician, birth weight, etc. according to THR guidelines.
- Queries the physician and takes initiative to collaborate with Clinical Documentation Specialist and other departments when documentation in the record is ambiguous, inadequate, unclear or incorrect for accurate coding and compliance.
- Demonstrates and maintains adequate productivity and quality metrics as outlined in job description.
- Demonstrates and maintains coding proficiency by staying abreast of coding guidelines as published in Coding Clinic.
Requirements
What you’ll need- H.S. Diploma or Equivalent REQUIRED
- Completion or training in ICD-10-CM/PCS coding program REQUIRED
- 3 Years Inpatient coding experience in a large, complex acute healthcare setting REQUIRED
- CCS - Certified Coding Specialist Upon Hire REQUIRED
- CIC - Certified Inpatient Coder Upon Hire REQUIRED
- RHIT - Registered Health Information Technician Upon Hire REQUIRED
- RHIA - Registered Health Information Administrator Upon Hire REQUIRED
- Ability to analyze and validate documentation that supports accurate code assignment for complex inpatient cases utilizing available coding technology appropriately.
- Advanced knowledge and utilization of encoder software with usage of computer-assisted-coding software.
- Ability to apply definition of principal diagnosis to arrive at correct code, MS-DRG and POA assignment.
- Strong knowledge of ICD-10-CM/PCS diagnosis and procedure coding guidelines.
- Expertise in the application of coding convention guidelines in all levels of inpatient coding from complex to simple.
- Strong oral and written communication skills with the ability to initiate clear and concise queries to physicians.
- Advanced MS Office suite skills and encoder software.
- Moderate skills in computer-assisted-coding functions.
- Acts as a resource/mentor to less experienced coders with the ability to assess coding accuracy and provide feedback.
- Demonstrated strong decision making, problem solving and advanced critical thinking skills by applying coding concepts.
Benefits
Comp & perks- Benefits include 401k
- PTO
- medical
- dental
- Paid Parental Leave
- flex spending
- tuition reimbursement
- Student Loan Repayment Program as well as several other benefits.
ATS Keywords
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Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
ICD-10-CM codingICD-10-PCS codingMS-DRG assignmentinpatient codingcoding proficiencyclinical data abstractioncoding convention guidelinesprincipal diagnosis definitioncoding accuracy assessmentcomputer-assisted coding
Soft Skills
analytical skillsproblem solvingdecision makingcritical thinkingcommunication skillscollaborationmentoringinitiativeproductivityquality metrics
Certifications
Certified Coding Specialist (CCS)Certified Inpatient Coder (CIC)Registered Health Information Technician (RHIT)Registered Health Information Administrator (RHIA)