Description
Coder will be responsible for assigning diagnostic/procedural codes to patient charts of high complexity using ICD-10-CM, CPT and HCPCS or any other designated coding classification system in accordance with coding rules and regulations. Coder will respond to audits, conduct coding/provides consultation on specific projects.
Responsibilities:
• Assign ICD10 CM Diagnosis Codes and ICD 10 PCS Procedure Codes for assigned accounts.
• IP/OP edits
• Select and sequence principal and secondary diagnosis and procedure codes.
• Assign appropriate DRG.
• Review the medical record and all applicable documentation to determine the appropriate codes to assign for the services and diagnoses.
• Demonstrates ability to achieve accuracy and consistency in abstracting elements defined by per facility.
• Maintain productivity standards, tracking and deadlines.
• Maintain and complete accurate productivity and tracking logs.
• May act as a mentor to training coders and/or new hires by providing education and training.
• Maintains current knowledge of the information contained in the Coding Clinic and the Official Inpatient Guidelines for Coding and Reporting.
• Ability to meet productivity standards while maintaining a 95% accuracy rate.
Requirements:
• Licenses/Certifications; CCS, RHIT, RHIA preferred.
• Must have a minimum of 3-5 years Acute Care Hospital
• Experience with IP/OP edits
• Experience with complex case mixes
• Extensive knowledge of ICD-10 CM/PCS coding principles and guidelines, DRG Assignment, MCC/CC capture, federal, state and payor-specific regulations and policies pertaining to documentation, coding and billing
• EHR systems, encoder and other support software - 3M 360, & Cerner
• Understands medical terminology, anatomy, physiology, surgical technology, pharmacology and disease processes.
• A high-level coding accuracy, critical thinking skills and attention to detail
• Strong interpersonal communication skills, both verbal and written
• Strong knowledge of Microsoft Word, Excel, PowerPoint and Outlook
• Maintain productivity standards, tracking and deadlines.
• Maintain and complete accurate productivity and tracking logs.