Department Overview
This level 3 coding position supports the Enterprise Coding Department with inpatient services coding. The role requires certification and active AHIMA credential status, along with advanced experience in inpatient coding.
Function/Duties
- Achieve inpatient coding accuracy of 95% or above.
- Abstract information from inpatient medical records to assign correct ICD-10 codes.
- Identify query opportunities.
- Verify account class, attending provider, and discharge disposition in Epic.
- Assign codes using 3M 360.
- Resolve coding issues, denial requests, and questions with coding leads and billing staff.
- Follow team procedures for ICD-10 coding in the Uncoded IP accounts work queue in Epic.
- Monitor compliance with federal and state laws, CMS requirements, and Oregon Medical Assistance Program guidelines.
- Coordinate billing information to ensure diagnosis codes, POA indicators, procedure codes, procedure dates, provider information, and discharge disposition are complete and accurate.
- Communicate with coding supervisors and team leads regarding coding issues and assigned priorities.
Department Support
- Serve as a resource to inpatient coding leadership and the coding team on billing policy and procedure issues.
- Attend coding meetings and seminars and share knowledge with other coders.
- Recommend and help implement remedial actions for problems in collaboration with leadership.
- Monitor newsletters, memos, and transmittals from coding publishers and government agencies for billing practice changes.
- Participate in Enterprise Coding education sessions, Kaizen events, and continuing education activities.
- Stay current on coding trends and maintain CEUs.
Collaboration with CDI
- Identify cases with a CDI reviewer listed in 3M 360.
- Review CDI documentation before coding.
- Communicate effectively with CDI via email and manage emails in a timely manner.
- Perform other duties as assigned.
Schedule and Work Arrangement
- Monday through Friday schedule.
- Weekend work may be required for makeup time or overtime.
- Remote position.
Requirements & Qualifications
Required Qualifications
- High school diploma or GED.
- Minimum of 4 years of professional or hospital experience reviewing, abstracting, or coding in ICD-10-CM, ICD-10-PCS, or CPT.
- AHIMA certification: RHIA, RHIT, or CCS.
- Active AHIMA membership.
- Ability to pass the internal coding test as a level 3.
- AHIMA certification required upon hire.
Preferred Qualifications
- Accredited coding program or associate/bachelor's degree.
- Specialized coding credential.
- Knowledge of inpatient coding guidelines, MCE, and compliance edits.
- Experience using an EMR.
- Coursework in anatomy/physiology, medical terminology, and ICD-10-CM/PCS coding.
- Experience using Epic and 3M encoder.
- Proficiency with word processing and Excel.
- Advanced knowledge of ICD-10-CM, Federal Register guidance, and federal/state insurance billing laws and mandates.
- Excellent verbal and written communication skills.
- Ability to work effectively as part of a team.
Location
Portland, Oregon, US
Employment Type
Part-time
Experience Level
Senior
Remote work allowed
Yes
Posted
1 month ago
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