Coder II (Inpatient) - Days

#REF! • Arlington, TX

15h • Remote

About The Position

Coder II (Inpatient) Are you looking for a rewarding career with a top-notch healthcare company? We are looking for qualified Coders like you to join our Texas Health Family $5000 Sign on Bonus Work location\: Remote Work hours\: Flexible hours HIMS Coding Department Highlights: · 100% remote work · Flexible hours/scheduling · Terrific work/life balance Here’s What You Need Education & Certifications · High School Diploma or Equivalent is required And, · 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. · Other – AHIMA or AAPC coding credentials (CCS, CCS-P, CCA, CPC) upon hire required. · RHIT – Registered Health Information Technician upon hire preferred or · RHIA – Registered Health Information Administrator upon hire preferred. Skills · 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. What You Will Do · 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. Additional perks of being a Texas Heath Coder · Benefits include 401k, PTO, medical, dental, Paid Parental Leave, flex spending, tuition reimbursement, Student Loan Repayment Program as well as several other benefits . · A supportive, team environment with outstanding opportunities for growth. · Explore our Texas Health careers site for info like Benefits , Job Listings by Category , recent Awards we’ve won and more. Do you still have questions or concerns? Feel free to email your questions to [e-mail] . #LI-JT1

Requirements

• High School Diploma or Equivalent is required
• Completion or training in ICD-10 CM/PCS (provide documentation upon interview), Competency of 95 accuracy required.
• 2 years of inpatient coding in an acute hospital setting required.
• Other – AHIMA or AAPC coding credentials (CCS, CCS-P, CCA, CPC) upon hire required.
• 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.

Nice To Haves

• Associate’s Degree in Health information related preferred.
• RHIT – Registered Health Information Technician upon hire preferred
• RHIA – Registered Health Information Administrator upon hire preferred.

Responsibilities

• 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.

Benefits

• Benefits include 401k, PTO, medical, dental, Paid Parental Leave, flex spending, tuition reimbursement, Student Loan Repayment Program as well as several other benefits
• A supportive, team environment with outstanding opportunities for growth.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED