Luminis Health
Healthcare
InpatientMedicalCoder
Neural analysis suggests this role is
optimal for Mid+ candidates.
“Inpatient Medical Coder at Luminis Health. Skills: Inpatient coding, ICD-10-CM/PCS, Reimbursement. Analyze inpatient cases. Assign ICD-10 diagnostic codes”
What You'll Achieve.
Accurate reimbursement; Appropriate reimbursement; Accurate code assignments
Industry & Context.
Problem solve
What They're Looking For.
Must Have
High School graduate or equivalent, Formal ICD-10-CM and CPT training, At least two (2) years of inpatient ICD-10-CM/ICD-10-PCS coding and abstracting experience in an acute care hospital setting, Certification as Certified Coding Specialist (CCS)
Nice to Have
Associates or Bachelor’s degree, Experience with MS-DRG/APR-DRG methodologies, Experience with inpatient reimbursement guidelines, Registered Health Information Technician (RHIT), Registered Health information Administrator (RHIA)
What You'll Do.
Analyze inpatient cases
Assign ICD-10 diagnostic codes
Assign PCS procedural codes
Utilize critical thinking
Analyze documentation issues
Consult with medical staff
Consult with clinical staff
Send coding queries to providers
Communicate with CDIS
Monitor assigned work
Facilitate billing process
Code records within timeframes
Abstract records within timeframes
Maintain high level of accuracy
Prevent claim denials
Prevent billing errors
Review medical records
Extract pertinent information
Communicate with departments
Refer problems to management
Comply with AHIMA standards
Adhere to HIPAA regulations
Utilize coding references
Utilize software tools
Participate in ongoing education
Participate in training
Participate in certification programs
Participate in DRG meetings
Support Luminis Health mission
Comply with Luminis Health vision
Comply with Luminis Health values
Comply with Luminis Health goals
Comply with Luminis Health objectives
Comply with Luminis Health policies
Perform coding corrections
How You'll Work.
Team & Collaboration
Consultation with medical staff; Consultation with clinical staff; Communication with CDIS; Communication with departments
Full Job Description
Position Objective: The Inpatient Medical Coder under the supervision of the Manager of Coding and Data Quality accurately codes hospital inpatient accounts for the purpose of appropriate reimbursement, research, statistics and compliance to federal and state regulations in accordance with established ICD-10-CM/PCS coding classification systems. Essential Job Duties: The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified. 1. Analyzes inpatient cases, identifies and assigns ICD-10 diagnostic and PCS procedural codes for the purpose of reimbursement, research and compliance with federal and state regulations. Demonstrates comprehensive knowledge of coding nomenclature to ensure accurate MS-DRG MCC/CC and APR-DRG/SOI/ROM and POA assignments. 2. Utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed. Sends coding queries to providers and communicates with CDIS’ when provider queries are clinical in nature. 3. Monitors assigned work on a daily basis in order to facilitate the billing process within the established timeframes within work queues. Codes and abstracts records within timeframes established for each patient type. 4. Maintain a high level of accuracy in code assignments to prevent claim denials, billing errors, and potential legal issues. Receives routine feedback on metrics. 5. Review medical records, including patient histories, examination findings, diagnoses, and treatment plans, to extract pertinent information for code assignments. 6. Communicates with various departments within the hospitals regarding billing and registration issues. Refers any problems to management timely, providing clear details. 7. Complies with AHIMA standards of ethical
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