Job title: Senior Inpatient Coder

Client: Large Health System

Contract Length: Direct Placement!

Location: 100% Remote (Can sit out of any state except New York and California)

Start date: ASAP

Work Schedule: M-F, 8am-5pm, 40 hours per week

• Can be on any time zone with the flexibility of working on said time zone as long as they are to complete 40 hours each week.

Summary:

This job reviews and accurately codes and abstracts hospital services, in-patient procedures, overnight / multi-night stay services or complex Professional medical services. Utilizes appropriate coding guidelines to assign ICD and CPT codes; conforms to applicable Medicare, Medicaid and other third-party payer guidelines to ensure receipt of accurate reimbursement. In the inpatient setting, works in collaboration with the Clinical Documentation Improvement team to ensure accurate DRG assignment and works closely with management to resolve problems and meet deadlines. In the professional setting, works closely with Providers and Educators to assign the most accurate ICD/CPT codes. Researches patient accounts based on questions and/or errors, monitors coding rules, regulations and best practices.

Job Description:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties. This job description is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at Ochsner's discretion.

Education Required – High School diploma or equivalent Preferred – Completion of American Health Information Management Association (AHIMA)/American Association of Professional Coders (AAPC) coding program with certification

Work Experience Required – 3 years of coding experience

Coding Specialties:

Cardiology Transplant

Mother/Baby- NICU

Surgical Services

Medicine Team

Certifications:

Hospital Coder: Required – Certification as a Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC), Registered Health Information Administrator (RHIA), OR a Registered Health Information Technician (RHIT)

Professional Coder: Required – Certification as a Certified Professional Coder (CPC) Preferred – American Association of Professional Coders Specialty Certification

Knowledge Skills and Abilities:

• Effective verbal and written communication skills and the ability to present information clearly and professionally to varying levels of Individuals throughout the patient care process.
• Must have computer skills and dexterity required for data entry and retrieval of information.
• Must be proficient with Windows-style applications, various software packages specific to role and keyboard.
• Knowledge of ICD-9-CM, ICD-10, CPT, HCPCS and coding principals.
• Excellent decision making, problem solving, analytical and quality management skills

Job Duties:

• Accurately assigns ICD-10, CPT and/or HCPCS codes as applicable and within the established coding guidelines, rules and regulations. Types of Coding may include but not limited to, Professional medical coding, Surgical coding and/or reviewing evaluation and management codes and CPT procedure codes for complex clinical visits and/or inpatient professional visits of a complex nature; Inpatient coding of Diagnoses and PCS procedures for concurrent accounts and discharged accounts of a non-complex nature; Single Path Coding.
• Ensures the data integrity of coded patient records by reviewing the medical documentation and validating that documentation is sufficient to support the assigned codes.
• Acts as a resource by researching patient accounts in response to questions and/or errors.
• Consistently complies with established department productivity and accuracy standards. Collaborate with assigned areas to identify query opportunities for documentation improvement.
• Communicate with providers if applicable for clarification or request additional documentation as needed.
• Works in collaboration with team members and other departments to meet departmental monthly goals which may include one or more of the following: DNFB, Pre-AR, Denials and Claim Edits.
• Verifies correct discharge disposition based on medical documentation.
• Other related duties as required.