Healthcare Careers.
Diverse Roles.

Top Client in need of Perm – Remote – Hospital Inpatient Coder

Essential Job Functions:

Assign ICD10CM and PCS codes to hospital inpatient visits

Reviews and analyzes the content of medical records and the autosuggested computer assisted codes (CAC) for the appropriate assignment of ICD diagnosis/procedure codes, present on admission indicators, hierarchical condition categories, complication and comorbidities in the proper sequence in accordance with official coding resources resulting in an accurate DRG assignment.

Meets 95% accuracy rate in audits

Maintains productivity of 2.75 charts per hour after release from training period.

Data Analysis- Hospital Inpatient Coding

Accurately reviews and codes patient records in the following clinical areas: hospital inpatient

services.

• Data Analysis- Hospital Inpatient Coding

Reviews and analyzes the content of medical records and the autosuggested computer assisted

codes (CAC) for the appropriate assignment of ICD diagnosis/procedure codes, present on

admission indicators, hierarchical condition categories, complication and comorbidities in the

proper sequence in accordance with official coding resources resulting in an accurate DRG

assignment.

• Specialized Audit

Auditing the accuracy of the CAC software autosuggested codes.

• Clinical Documentation Analysis 5

Reviews clinical documentation to validate accurate representation of the patient’s clinical picture,

treatment, and diagnoses. Identifies when documentation relevant to the coding process is

missing, lacks specificity or is inconsistent and take steps to obtain the documentation.

• Abstracting Data

Identifies and enters data elements for abstracting.

• Coding Accuracy

Meets defined coding accuracy standards

• Coding Productivity Meets defined coding productivity standards

• Advanced Information Technology

Basic understanding of how natural language processing engine works

• Subject Matter Expert- Coding

Applies broad guidelines to specific coding situations, independently utilizing discretion and a

significant level of analytic ability.

• Subject Matter Expert- Coding

Understands how diagnosis and procedure codes, and reimbursement methodologies are used to

determine reimbursement, public reporting of outcomes, quality of patient care, financial

modeling, strategic planning, and marketing.

• Subject Matter Expert- Coding

Remains current with coding and industry changes through participation in educational

opportunities to maintain coding credentials.

• Subject Matter Expert- Hospital Inpatient Coding

Demonstrates a thorough knowledge of hospital inpatient coding

Position Information:

• Call Requirements:0
• Required Certifications: CCS, RHIT, RHIA
• Years of Experience: 2 years acute inpatient coding

Must Have Skills/Experience:

• Registered Health Information Technologist (RHIT)

or

• Registered Health Information Administrator (RHIA)

Preferred Skillset/Experience:

• Associate’s degree in Health Information Management
• Bachelor’s degree in Health Information Management