Medical Coder/Clinical Coder

Job Title – Medical Coder/Clinical Coder - Acute Care

Location- Remote

Shift – M-F (5*8s)

Duration- Perm full-time.

Salary: $30.48 - $38.10

Job Description:

• "Reviews clinical documentation and diagnostic results as appropriate to extract abstract data and apply appropriate ICD-9-CM/ICD10-CM/PCS and CPT 4 codes for reimbursement and external reporting, research, regulatory compliance, medical necessity, CCI, NCCI and any other regulatory edits.
• Code and abstract medical records of high complexity within the Primary Enterprise acute care facilities.
• Reviews medical records of high complexity to identify the appropriate principal diagnosis and procedure codes, all other appropriate secondary diagnoses and procedure codes.
• Assign and present on Admission, Hospital Acquired Condition and Core Measure Indicators for all diagnosis codes.
• Facilitates appropriate MS-DRG for inpatient medical records and appropriate APC assignment for outpatient medical records using UHDDS and other facility guidelines.
• Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in an on-site or remote setting.
• Reviews charges and Evaluation and Management levels.
• Demonstrates proficiency with Microsoft Office Applications and in using required computer systems with minimal assistance.
• Abstracts coded data and other pertinent fields in the hospital electronic health record.
• Ensures the accuracy of data input.
• Meets established quality and productivity standards.
• Facilitates peer review and training for all Acute Clinical Coders in the coding department.
• Provides support to management.
• Stay abreast of coding principles and regulatory guidelines related to inpatient and/or outpatient coding."

Skills:

Must be able to concentrate and sit for long periods of time while reviewing electronic health records. Daily and weekly deadlines must be met in a fast paced office environment and/or at home environment.

Education:

High school diploma or GED required; Bachelor's degree preferred. Advanced knowledge in Medical Terminology, Anatomy and Physiology and Pharmacology required. 4 years coding experience in acute care setting required. Current RHIA, RHIT, CCS, CPC-H, CPC or CIC.

Schedule Notes:

Job Title: Clinical Coder IV – Acute Care

Work Hours: 1st shift Monday -Friday Work

Location(s): Remote

Required Skills:

Associate degree or equivalent experience

Certification Requirements:Must have Current RHIA, RHIT, or CCS, plus a passing score on the Coding test. Coding test will be administered by the hiring manager after successful completion of a first round interview.

4+ years of current acute care Inpatient coding.

Must-Haves (Hard Skills & Soft skills)