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REMOTE OPPORTUNITY AVAILABLE FOR INPATIENT CODER!

Not accepting applications from CA, DC, MN, CO, HI, NJ, CT, IL, NV, DE, MA, or NY.

We are seeking a skilled professional to perform technical and administrative tasks related to reviewing, abstracting, and assigning accepted medical codes for diagnoses, procedures, and services in an inpatient hospital setting within the Health Information Management department. This position requires compliance with third-party, state, and federal regulations, following standardized procedures.

Responsibilities include:

· Accurate and efficient assignment of International Classification of Diseases 10-CM diagnostic and ICD-10-PCS procedural codes, as well as other applicable codes such as MS-DRG, on inpatient cases across the Health Care system, including Academic Medical Center cases.

· Grouping codes and completing the necessary actions for proper payment grouping.

· Assigning codes that affect Severity of Illness and Risk of Mortality, as well as Hierarchal Condition Categories (HCCs).

· Participating in DRG Reconciliation with the Clinical Documentation Specialist (CDS).

· Communicating with providers to resolve conflicting documentation or obtain clarification and specificity when necessary.

· Analyzing information to ensure optimal and accurate reimbursement.

· Ensuring compliance with coding, billing, and data collection regulations and procedures.

· Providing current coding practices and regulatory/guideline updates to physicians and other healthcare staff.

· Reviewing, analyzing, and abstracting physician and other documentation for diagnoses, procedures, discharge disposition, and other services rendered.

· Obtaining missing information or clarifying existing information as needed.

· Incorporating feedback from PWC Smart reviews to make necessary edits and prevent future errors.

· Reviewing and processing PWC SMART edits.

· Utilizing various software applications (e.g. Epic, Optum CAC, MS Office, etc.) to compile and validate medical information.

Requirements:

· High School diploma or GED

· Satisfactory completion of the UNC HCS IP Coder Proficiency Test (including AMC).

· One of the following certifications and credentials: AHIMA (American Health Information Management Association) or AAPC (American Academy of Professional Coders).

· Four (4) years of experience in hospital inpatient coding.

· Expertise in ICD-10-CM/PCS coding, with exceptional analytical and data mining skills. Ability to manage projects, implement programs, and evaluate outcomes. Proficiency in collaboration with various levels of staff, including on-site and remote. Strong written and verbal communication skills with great attention to detail. Effective organizational and time management abilities, prioritizing multiple tasks. Proficient in interpreting complex medical conditions and coding applications. Understanding of federal and state regulations related to coding and compliance.