Company
Healthcare
CoderSr.
Neural analysis suggests this role is
optimal for Senior candidates.
“Coder Sr.. Skills: Inpatient coding, Outpatient coding, Medical coding. Review inpatient record accounts. Assign correct ICD-10-CM diagnosis codes”
What You'll Achieve.
Meets Monthly Productivity Standard: ≥100%; Meets Biannual Quality Standard: ≥95%
Industry & Context.
Root cause analysis
What They're Looking For.
Must Have
High School Diploma or equivalent, 2 years of relevant experience coding, 1 of 5 certifications
Nice to Have
Associate’s degree in health information technology/management, Bachelor's degree Health information technology/management, ICD-10-CM, ICD-10-CPS, CPT coding experience
What You'll Do.
Review inpatient record accounts
Assign correct ICD-10-CM diagnosis codes
Assign ICD-10-PCS procedure codes
Utilize 3M computer assisted coding software
Abstract coded data from Epic
Maintain quality accuracy standards
Maintain productivity standards
Works collaboratively with leadership
Works collaboratively with financial teams
Works collaboratively with clinical teams
Ensure APR-DRG accuracy
Review outpatient services record accounts
Assign correct ICD-10-CM diagnosis codes
Assign CPT procedure codes
Codes outpatient records according to guidelines
Codes inpatient records according to guidelines
Assign diagnoses for billing process
Assign procedures for billing process
Assign diagnoses for data retrieval
Assign procedures for data retrieval
Assign diagnoses for research purposes
Assign procedures for research purposes
Provides education regarding coding guidelines
Provides training regarding coding guidelines
Communicates with others
Collaborates with others
Acts as a team player
Ensure continuity of services
Optimize codes for reporting
Generates APCs for outpatient records
Abides by Standards of Ethical Coding
Adheres to official coding guidelines
Participate in process improvement activities
Assure accounts that cannot be coded are held
Attend all staff meetings
How You'll Work.
Team & Collaboration
Leadership teams; Financial teams; Clinical teams; Cross-functional teams
Full Job Description
## Job Summary The inpatient senior coder will thoroughly review inpatient record accounts to assign correct ICD-10-CM diagnosis codes and ICD-10-PCS procedure codes per industry coding guidelines, utilizing the 3M computer assisted coding software application. Abstracts coded data from the Epic electronic medical record according to the established standard of work, while maintaining established quality accuracy and productivity standards. Works collaboratively with leadership, financial and clinical teams to ensure Diagnostic Related Groups (DRG) or All Patient Refined Diagnostic Related Groups (APR-DRG) accuracy. The outpatient senior coder will review multiple service lines of outpatient services (ambulatory surgery, observation, interventional radiology/cardiology, emergency) record accounts to assign correct ICD-10-CM diagnosis codes, CPT procedure codes, add modifiers, review claim edits, etc. per the industry coding guidelines, utilizing the 3M computer assisted coding software application. Abstract coded data from the Epic electronic medical record according to the established standards of work, while maintaining the established quality accuracy and productivity standards. ## Essential Functions * Consistently Meets Monthly Productivity Standard: ≥100% * Consistently Meets Biannual Quality Standard: ≥95% * Use of an electronic medical record and encoder in a remote work environment. * Codes outpatient or inpatient records according to coding guidelines and conventions. Assigns diagnoses and procedures for billing process, data retrieval and research purposes, using numerical codes of ICD-9-CM/ICD-10-CM/PCS and CPT-4 coding. * Provides education and training regarding coding guidelines of specialty area to clinical and non-clinical staff. * Communicates, collaborates and acts as a team player with others in order to ensure continuity of services. * Optimize codes for reporting and generates APCs for all outpatient records. Abides by the Standards of Ethical
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