To ensure accurate and appropriate gathering of information into coding classification systems to meet departmental, hospital, and outside agency requirements. This role supports appropriate reimbursement, compliance, and charging in alignment with coding guidelines and regulatory agencies.
Responsible for obtaining accurate and complete documentation in the medical record to support accurate coding, MS-DRG assignment, severity of illness, and risk of mortality for each medical record. The position codes inpatient and/or interventional radiology cardiology/radiology accounts and handles highly complex patient classes.
Key duties include:
- Coding inpatient and/or IRAD accounts for most of the workday
- Reviewing and accurately interpreting medical record documentation to identify diagnoses and procedures
- Assigning ICD-10-CM, ICD-10-PCS, CPT, and modifier codes as appropriate
- Ensuring proper MS-DRG assignment based on accurate coding and documentation
- Supporting timely coding, charging, and abstraction of assigned accounts
- Maintaining coding knowledge through quality review, meetings, seminars, and reference materials
- Working with physicians and other staff to obtain information needed for accurate code assignment
Minimum qualifications
- High school diploma or equivalent
- Current HIM or coding certification through AHIMA or AAPC
- 3 years of hospital inpatient coding or interventional radiology (IRAD) hospital coding experience
Preferred qualifications
- Graduate of a Health Information Technology (HIT) or equivalent program
- Medical coding certification program completion
Skills and abilities
- Knowledge of anatomy, physiology, and medical terminology
- Ability to concentrate and maintain accuracy during interruptions
- Strong independent decision-making ability
- Ability to prioritize tasks and handle high-stress situations
- Strong written and verbal communication skills
Location
West Virginia, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
Yes
Posted
9 months ago