Boston Medical Center (BMC)
health
InpatientMedicalCoderII
Neural analysis suggests this role is
optimal for Mid+ candidates.
“Inpatient Medical Coder II at Boston Medical Center (BMC). Skills: Inpatient coding, ICD-10-CM/PCS coding, CPT-4 coding, DRG assignment, Medical record abstraction. Assigns appropriate codes to reflect all diagnoses and procedures extrapolated from physician and appropriate provider documentation during a patient encounter according to the most current coding methodologies, including ICD-10-CM and ICD-10-PCS resulting in appropriate reimbursement.. Abstracts required data to input into the Medic”
What You'll Achieve.
Maintains accuracy rate of 95% or better.; Maintains productivity standards set forth in Departmental Policies and procedures.
Industry & Context.
Ability to solve problems appropriately using job knowledge and current policies/procedures.
What They're Looking For.
Must Have
3 years inpatient coding experience in a Level 1 Trauma, Teaching Facility, Requires inpatient CCS, RHIT or RHIA credentials from AHIMA, CCS coding credential requires inpatient coding experience before taking exam, RHIT and RHIA must have associate’s and bachelor’s degree respectively before taking exam
Nice to Have
Certified Coding Specialist
What You'll Do.
Assigns appropriate codes to reflect all diagnoses and procedures extrapolated from physician and appropriate provider documentation during a patient encounter according to the most current coding methodologies
including ICD-10-CM and ICD-10-PCS resulting in appropriate reimbursement.
Abstracts required data to input into the Medical Center's computerized data base.
Converts all patient visits and encounters into appropriate DRG (Diagnosis-related group) MSDRG
APR DRG assignments in order to correctly submit the optimal reimbursement for each patient encounter coded.
Reviews patient medical records and abstracts medical data that identifies all diagnoses and procedures.
and appropriate modifiers from the medical record documentation using ICD-10-CM/PCS
CPT4/HCPCS classification systems.
Refers to a computerized encoding system
written coding aids and other reference materials to ensure accurate coding for billing.
procedures and complications by following ICD-10-CM/PCS
the Uniform Hospital Discharge Data Set (UHDDS); adheres to the Official Guidelines for Coding and Reporting
Coding Clinic guidelines and other regulatory guidelines as appropriate.
Consults with the CDCI team to request appropriate physician or appropriate medical staff to clarify medical record information.
Assigns grouper codes to each record according to patient type and financial class (DRG
Enters coded/abstracted information in grouper
and assigns the appropriate grouper for appropriate and accurate reimbursement.
Data enters abstracted information into the Medical Center's computerized database.
Assists the clinical documentation specialists in medical record documentation auditing as needed.
Maintains accuracy rate of 95% or better.
Maintains productivity standards set forth in Departmental Policies and procedures.
Contacts Medical Records departments to track missing records so that all records can be billed.
Maintains professional skills and knowledge of coding through attendance at in-service programs
workshops and other educational programs and review of current literature.
Assist in training new personnel in department coding procedures.
Utilizes hospital’s behavioral standards as the basis for decision making and to facilitate the hospital’s goals and mission.
Follows established Hospital infection control and safety procedures.
Performs other duties as needed.
How You'll Work.
Team & Collaboration
Consults with the CDCI team to request appropriate physician or appropriate medical staff to clarify medical record information.; Ability to work cooperatively with members of the healthcare delivery team and staff
Full Job Description
Job Description **POSITION SUMMARY:** Boston Medical Center (BMC) is more than a hospital. It´s a network of support and care that touches the lives of hundreds of thousands of people in need each year. It is the largest and busiest provider of trauma and emergency services in New England. Emphasizing community-based care, BMC is committed to providing consistently excellent and accessible health services to all—and is the largest safety-net hospital in New England. The hospital is also the primary teaching affiliate of the nationally ranked Boston University School of Medicine (BUSM) and a founding partner of Boston HealthNet – an integrated health care delivery systems that includes many community health centers. Join BMC today and help us achieve our Vision 2030 which is a long-term goal to make Boston the healthiest urban population in the world. **Position:** Inpatient Medical Coder II **Department:** Clinical Documentation **Schedule:** Full Time **ESSENTIAL DUTIES & RESPONSIBLITIES**: Assigns appropriate codes to reflect all diagnoses and procedures extrapolated from physician and appropriate provider documentation during a patient encounter according to the most current coding methodologies, including ICD-10-CM and ICD-10-PCS resulting in appropriate reimbursement. Abstracts required data to input into the Medical Center's computerized data base. Converts all patient visits and encounters into appropriate DRG (Diagnosis-related group) MSDRG, APR DRG assignments in order to correctly submit the optimal reimbursement for each patient encounter coded. Abiding by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adhering to official coding guidelines and departmental procedures, the Medical Coder: * Reviews patient medical records and abstracts medical data that identifies all diagnoses and procedures. Codes diagnoses, procedures, and appropriate modifiers from the medical record documentation usin
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