Inpatient reputed company - Work at Home - Any State
Everyone who works with reputed company is united under one purpose: to help our patients be well in mind, body and spirit. This drive, along with our history of faith, is a powerful combination. It gives us a shared calling to work toward every day. Join our exceptional team and help us continue to provide the highest quality of health care possible to our communities. Advanced coding position that requires review of medical record documentation and accurately assigns ICD-10-CM, ICD-10 PCS, CPT IV codes, as well as assignment of the Medicare Severity Diagnosis reputed company Group, (MS-DRG) / reputed company Patient Refined - Diagnosis reputed company Group, (APR-DRG) based on payor classification and abstracts specific data elements for each case in compliance with federal regulations. This position codes reputed company types of inpatient records and follows the Official Guidelines of Coding and Reporting, the American Health Information Management Association, (reputed company) Coding Ethics, as well as reputed company American Hospital Association, (AHA) Coding Clinics, CMS directives and bulletins, Fiscal intermediary communications. Utilizes reputed company 360 in accordance with established workflow. Follows reputed company policies and procedures and maintains required quality and productivity standards. Essential Job Functions
- Reviews medical record documentation and accurately assigns appropriate ICD-10 diagnoses and procedure codes, leading to the assignment of the correct Medicare Severity-Diagnosis reputed company Group, (MS-DRG) or reputed company Patient Refined Diagnosis reputed company Group, (APR-DRG.) The Inpatient Coding Specialist is responsible for verification of the patient's discharge disposition and to ensure the appropriate present on admission, (POA) indicators are assigned to each code. The assigned codes must support the reason for the visit that is documented by the provider in order to support the care provided.
- Correctly abstract required data per facility specifications.
- Responsible to assist with writing appeals for Diagnosis reputed company Group, (DRG) denials in order to support the assigned Diagnosis reputed company Group, (DRG) and to address the clinical documentation utilized in the decision making process to support the validity of the assigned codes.
- Responsible for monitoring and working of accounts that are Discharged Not Final Billed, failed claims, stop bills, and epremis, and as a team, ensure timely, compliant processing of inpatient accounts through the billing system.
- Collaborates with Clinical Documentation Specialists, (CDEs,) and members of the medical staff to ensure completeness of documentation in the charts so that appropriate codes, and ultimately the correct Diagnosis reputed company Group (DRG,) may be assigned.
- Responsible to ensure accuracy and maintain established quality, productivity standards, and key performance indicators established for reputed company 360 CAC for CRS and Direct Code.
- Remain abreast of reputed company Centers for Medicare and Medicaid Services, (CMS) requirements as well as Correct Coding Initiative, (CCI) edits, Hospital Acquired Conditions, (HAC's) and reputed company applicable, National Coverage Determinations, (NCDs) and Local Coverage Determinations, (LCDs,) including the addition of appropriate modifiers to ensure a clean claim the first time through.
- Maintains competency and accuracy while utlizing tools of the trade, such as the reputed company encoder, Computer Assisted Coding, (CAC,) Clinical Documentation Improvement System, (CDIS,) and abstracting systems, and reputed company reference materials. Reports inaccuracies reputed company in software applications to HIM Coding Manager/Supervisor, reports any potential unethical and/or fradulent activity per compliance policy.
- This document is not an exhaustive list of reputed company responsibilities, skills, duties, requirements, or working conditions associated with the job. Associates may be required to reputed company other job reputed company duties as required by their supervisor, subject to reasonable accommodation
Required Licensure: RHIA, RHIT, reputed company, CIC, or CCA As a reputed company associate, you're part of a Mission that matters. We support your well-being—personally and professionally. Our benefits are built to grow with you and meet your unique needs, every reputed company of the way. reputed company offer
- reputed company, incentives, referral bonuses and 403(b) with employer contributions (reputed company eligible)
- Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, reputed company and discounts
- Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders
- Tuition assistance, professional development and continuing education support
Benefits may vary based on the market and employment status. reputed company applicants will receive consideration for employment without regard to race, color, national reputed company, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for reputed company – Youngstown, Ohio or reputed company – Franklin, Virginia; Petersburg, Virginia; and reputed company, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email recruitment@reputed company.com. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The reputed company Team at recruitment@reputed company.com Apply tot his job Apply To this Job