Remote IP Facility CCS Coder

Codes inpatient and/or outpatient hospital records, emergency department records, home health and hospice records, and/or professional fee services for specialty providers for reimbursement, research, and compliance with federal regulations using ICD-9/10-CM and CPT-4 classification systems. The role ensures adherence to hospital and departmental policies and procedures and is based remotely for New Mexico workers.

Responsibilities

• Review the patient’s current medical record and assign appropriate CPT, ICD, and MS-DRG codes in accordance with UHDDS guidelines, CMS, federal regulations, and hospital policies.
• Abstract data needed by the quality improvement department and The Joint Commission.
• Use multiple computer systems and electronic resources to research records and complete coding in a timely manner.
• Take responsibility for accounts receivable by identifying missing documents, ensuring encounters are coded, and generating queries as needed.
• Resolve pre-bill edits, denials, and related account issues.
• Maintain current knowledge of ICD-9/10-CM, CPT-4, HCPCS, DRG, APC, and HHRG updates and regulatory changes.
• Participate in departmental in-services and updates to stay current with coding guidelines and medical knowledge.
• Communicate issues to the Clinical Coding Manager and Supervisor as appropriate.
• Demonstrate proficiency across multiple service areas and specialties.
• Maintain at least a 95% accuracy rate and meet productivity standards.
• Complete continuing education requirements according to policy.