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Coder II – Inpatient
<Undefined>Coder II role focusing on inpatient coding for Texas Health. Requires reviewing health records, coding diagnoses, and ensuring accurate billing.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in ICD-10-CM/PCS coding, MS-DRG assignment, and compliance with coding guidelines to ensure accurate billing and reimbursement. Proficient in analyzing clinical documentation and collaborating with healthcare professionals to enhance coding accuracy and quality metrics.
Highest-signal resume keywords
ICD-10-CM/PCS CodingMS-DRG AssignmentAHIMA or AAPC Coding CredentialsInpatient Coding ExperienceAnalytical Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
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Hard Skills
ICD-10-CM/PCS CodingMS-DRG AssignmentCoding Guidelines InterpretationClinical Data AbstractionCoding Software Utilization
Soft Skills
Effective Communication SkillsAnalytical Skills
Tools & Technologies
Encoder SoftwareComputer-Assisted Coding SoftwareMS Office Suite
Certifications & Qualifications
AHIMA or AAPC Coding CredentialsRHITRHIA
Industry Keywords
Health Record DocumentationCoding ComplianceQuality MetricsPre-Bill Coding ReviewThird Party Payers
About the role
Key responsibilities & impact- Reviews and interprets health record documentation to accurately identify pertinent primary and secondary diagnosis and procedures that require code and DRG assignment for properly billing inpatient records
- Presents on Admission indicators and calculates the correct MS-DRG, Severity of Illness and Risk of Mortality levels per official coding guidelines, THR coding compliance policies and procedures, CMS and other third party payers to ensure accurate reimbursement
- Assesses high risk quality cases to accurately trigger pre-bill coding review process
- Abstracts and complies clinical data elements such as attending physician, surgeon, consultants, ED physician, birth weight, etc. according to THR guidelines
- Validates and initiates correction on patient status, admit and discharge dates and discharge disposition for calculation of correct DRG and length of stay for correct reimbursement
- Queries physician when documentation in the record is ambiguous, inadequate, unclear or incorrect for coding and compliance purposes
- Collaborates with Clinical Documentation Specialist to improve coding and documentation
- Demonstrates and maintains adequate productivity and coding quality metrics as outlined in job description
- Demonstrates and maintains coding proficiency by staying abreast of coding guidelines as published in Coding Clinic
- Demonstrates timely completion of all THR training and education as well as maintains credentials by completing assigned continuing education credits per THR Coding Compliance requirements
Requirements
What you’ll need- High School Diploma or Equivalent is required
- Completion or training in ICD-10 CM/PCS (provide documentation upon interview)
- Competency of 95 accuracy required
- Associate’s Degree in Health information related preferred
- 2 years of inpatient coding in an acute hospital setting required
- AHIMA or AAPC coding credentials (CCS, CCS-P, CCA, CPC) upon hire required
- RHIT – Registered Health Information Technician upon hire preferred
- RHIA – Registered Health Information Administrator upon hire preferred
- Analytical and interpretation skills when applying coding guidelines and principles for correct code assignment and proper sequencing of diagnoses and procedures
- Ability to apply definition of principal diagnosis for accurate coding, MS-DRG and POA assignment
- Strong knowledge of ICD-10-CM/PCS diagnosis and procedure coding guideline, DRG and POA assignment
- Moderate skills including MS Office Suite, encoder software and computer-assisted-coding software
- Demonstrated appropriate utilization of coding software and coding reference material to facilitate achieving accurate coded data
- Effective oral and written communication skills with the ability to generate clear documentation quires to physicians.
Benefits
Comp & perks- $5000 Sign on Bonus
- 401k
- PTO
- medical
- dental
- Paid Parental Leave
- flex spending
- tuition reimbursement
- Student Loan Repayment Program
- several other benefits