Inpatient Medical Coder II

Background: Inpatient Coding Experience is required, including knowledge of DRG (APR & MS) and denial letter writing.

Schedule: 5 days 8 hours or 4 days 10 hours.

Core Job Responsibilities:

• Assign appropriate DRG based on patient file analysis and medical necessity.
• Assign diagnosis and procedure codes for accurate and timely billing to the most appropriate payer.
• Resolve diagnosis/procedure inconsistencies and collaborate with providers to establish proper coding.
• 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 maintaining coding-related policies and procedures.
• Mentor new staff.
• Perform other duties as required.

Education/Experience Requirements:

• AS in Health Information Management, related degree, or equivalent experience.
• RHIA, RHIT, CCS, CCA, CPC, CIC Certification.
• Knowledge of EMR, coding software, and Microsoft Office.
• Understanding of Patient Safety Indicators (PSI), present on admission reporting, Hospital Acquired Conditions (HAC), and their impact on quality and reimbursement.
• Knowledge/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 hospital coding experience.

Required:

• RHIA, RHIT, CCS, CCA, CPC, CIC Certification or ability to obtain.