Codes medical information into Prisma billing and abstracting systems using established professional and regulatory coding guidelines. The role is responsible for inpatient coding across multiple facilities, including major trauma and NICU records, with accurate assignment of ICD, ICD-PCS, DRGs, MCC/CCs, HAC/PSI indicators, POA indicators, and risk adjustment diagnoses.
The position reviews work queues, prioritizes charts within required timelines, follows up on on-hold accounts, and requests physician queries when documentation is unclear. The coder works under general supervision of HIM Coding leadership, collaborates with clinical documentation specialists, and helps identify and trend coding issues to support compliance, quality, and timely final coding.
Minimum Requirements
- Certification program, associate degree, or coding certificate through AHIMA or another approved coding certification program
- 3 years of coding experience in an acute care or ambulatory setting
- Inpatient coding experience
- EPIC health information system experience preferred
Required Certifications
- RHIT
- RHIA
- CCS
- CIC
- Or another approved coding credential
Knowledge and Skills
- Knowledge of medical terminology, anatomy and physiology, pathophysiology, and pharmacology
- Knowledge of electronic medical records and 3M or encoder systems
- Knowledge of MS-DRG prospective payment system and severity systems
- Ability to concentrate for extended periods
- Ability to work independently and make decisions
- Familiarity with AHIMA coding guidelines and documentation query processes
Location
South Carolina, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
Yes
Posted
2 months ago