Inpatient DRG Coder II - Inpatient Medical Coding

Background: Inpatient coding experience is a must (DRG [APR & MS], denial letter writing).

Schedule: 5 days 8 hours or 4 days 10 hours (Fully Remote).

Core Job Responsibilities:

• Assign the appropriate DRG based on an analysis of the patient file and medical necessity.
• Assign diagnosis and procedure codes for accurate and timely billing of the most appropriate payer.
• Resolve diagnosis/procedure inconsistencies and establish proper coding in collaboration with providers.
• Initiate and follow up on queries with providers.
• Abstract data elements and compile data for statistical reports.
• Provide education based on recognized trends, including physician documentation.
• Assist departments with diagnostic and procedural coding.
• Respond to insurance, compliance, and RAC denials.
• Review and assist in the maintenance of coding-related policies and procedures.
• Mentor new staff.
• Perform other duties as required.

Education/Experience Requirements:

• AS in Health Information Management, a related degree, or equivalent experience.
• RHIA, RHIT, CCS, CCA, CPC, CIC Certification required or the ability to obtain.
• Knowledge of EMR, coding software, and Microsoft Office.
• Understanding of Patient Safety Indicators (PSI), present on admission reporting requirements, Hospital Acquired Conditions (HAC), and impact on quality and reimbursement.
• Understanding of SOI/ROM methodology.
• Good oral and written communication skills.

Preferred:

• BS in Health Information Management.
• Knowledge of Epic, 3M encoder, CDI Collaborate, and Microsoft Office.
• 2 years of hospital coding experience.