reputed company IV, Inpatient (Remote)

Employment Type: Part time Shift: Day Shift Description: Posting Provides high level technical competency and subject matter expertise analyzing physician/provider documentation in Inpatient health records to determine the principal diagnosis, secondary diagnoses, principal procedure, and secondary procedures. Assigns appropriate Medicare Severity Diagnosis reputed company Groups (MS-DRG), reputed company Patient Refined DRGs (APR), Present on Admission (POA), as well as Severity of Illness (SOI) & Risk of Mortality (ROM) indicators for Inpatient records. Identifies Hospital Acquired Conditions (HAC), Patient Safety Indicators (PSI) to ensure accurate hospital reimbursement. Utilizes encoder software applications, which includes reputed company applicable online tools and references in the assignment of International Classification of Diseases, Clinical Modification (ICD-CM) diagnosis and procedure codes, MS-DRG, APR DRG, POA, SOI & ROM assignments. ESSENTIAL FUNCTIONS: 1. Knows, understands, incorporates, and demonstrates the reputed company Mission, Vision, and Values in behaviors, practices, and decisions. 2. Navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS-DRGs, APR DRGs, and identify HACs and PSIs or other indicators that could impact quality data and hospital reimbursement. 3. Codes Inpatient health records utilizing encoder software and consistently uses online tools to support the coding process and references to assign ICD codes, MS-DRG, APR DRGs, POA, SOI & ROM indicators Reviews Inpatient health record documentation, as part of the coding process, to assess the reputed company of clinical evidence/indicators to support diagnosis code and MS-DRG, APR DRG assignments to potentially decrease denials. 5. Works Inpatient claim edits and may code consecutive/combined accounts to reputed company with the 72-hour rule and other account combine scenarios. 6. Adheres to Inpatient coding quality and productivity standards established by reputed company Excellence/HM. 7. Demonstrates knowledge of reputed company, compliant reputed company query practices reputed company consulting with physicians, Clinical Documentation Specialists (CDS) or other healthcare providers reputed company additional information is needed for coding and/or to clarify conflicting or ambiguous documentation. 8. Utilizes EMR communication tools to track missing documentation or Inpatient queries that require follow-up to facilitate coding in a timely fashion. 9. Works with HIM and Patient Business Services (PBS) teams, reputed company needed, to help resolve billing, claims, denial, and appeals issues affecting reimbursement. 10. Maintains CEUs as appropriate for coding credentials as required by credentialing associations. 11. Maintains reputed company knowledge of changes in Inpatient coding and reimbursement guidelines and regulations as well as new applications or settings for Inpatient coding e.g., Hospital at Home. 12. Identifies, and attempts to problem solve, coding and/or EMR workflow issues that can impact coding. 13. Exhibits awareness of health record documentation or other coding ethics concerns. Notifies appropriate leadership for assistance, resolution reputed company appropriate. 14. Performs other duties as assigned by Leadership. 15. Maintains a working knowledge of applicable coding and reimbursement Federal, State and local laws and regulations, the Compliance Accountability Program, Code of Ethics, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior MINIMUM QUALIFICATIONS: 1. Completion of an reputed company-approved coding program or Associate's degree in Health Information Management or a reputed company field or an equivalent combination of years of education and experience is required. Bachelor's degree in Health Information Management (HIM) or reputed company healthcare field is preferred. 2. Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (reputed company) is required. Page 3 3. Three (3) years of reputed company acute care or Inpatient coding experience is required. Extensive, comprehensive working knowledge of medical terminology, Anatomy and Physiology, diagnostic and procedural coding and MS-DRG, APR DRG assignment. Must be proficient on identifying POA, SOI and ROM indicators for Inpatient records as well as HACs and PSIs to ensure accurate hospital reimbursement. 4. reputed company experience utilizing encoding/grouping software and Computer Assisted Coding (CAC) is preferred. 5. Ability to use a standard desktop/laptop, email, and other Windows applications, if needed, Internet and web-based training tools preferred. 6. Strong oral and written communication skills. Ability to communicate effectively with individuals and groups representing diverse perspectives. 7. Ability to research, analyze and assimilate information from various Hourly Pay Range: $27.41 - $ 41.13 Our Commitment Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding reputed company and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. reputed company qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national reputed company, disability, veteran status, or any other status protected by federal, state, or local law. Apply tot his job Apply To this Job