Responsible for hospital inpatient coding and abstracting based on documentation and coding guidelines within established productivity standards for assigned accounts.
Resolves coding-related edits and denials and provides ongoing feedback and education to physicians and clinicians.
Follows up on accounts that cannot be coded due to missing or incomplete documentation or charges.
Reviews medical record documentation and assigns appropriate ICD-10 diagnosis and procedure codes, supporting accurate MS-DRG or APR-DRG assignment.
Collaborates with Clinical Documentation Specialists, HIM staff, medical staff, and Revenue Cycle teams to ensure documentation completeness, coding accuracy, and compliant claim submission.
Provides support for coding questions, assists with provider orientation, and participates in coding meetings to strengthen compliance and knowledge.
Associate or bachelor's degree in HIM required.
RHIA, RHIT, or CCS required.
3 or more years of exclusive inpatient hospital coding experience required.
Advanced knowledge of DRG, ICD-10-CM, and ICD-10-PCS coding methodologies.
Advanced knowledge of anatomy, physiology, pharmacology, disease processes, and medical terminology.
Ability to research authoritative coding and compliance citations.
Ability to work independently, follow procedures, exercise good judgment, and manage multiple priorities.
Excellent customer service, telephone, written, and verbal communication skills.
Proficient data entry skills and strong attention to detail.
Experience interacting with physicians and support staff.
Knowledge of Medicare, Medicaid, and third-party coding and billing requirements.
Successful completion of, or pre-hire passing score on, a coding test.
Must be able to maintain required CEUs and comply with policies and procedures.
Remote work is available only for Washington residents.
Location
Washington, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
Yes
Posted
1 month ago