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Work Shift

Day (United States of America)

Overview

The Inpatient Coder 3 position reports directly to the Supervisor of Coding. Key responsibilities of the role include:

Reviewing documentation in inpatient and/or IVR (interventional radiology) medical records, and accurately and completely assigning appropriate ICD-10-CM diagnostic and ICD-10-PCS/CPT-4 HCPCS procedural codes to the greatest specificity, assigning the most accurate DRG/APC, when appropriate. Abstracts demographic and coding information accurately and completely.

Core Responsibilities and Essential Functions:Codes and abstracts medical records with a minimum of accuracy.Accurately and completely assigns appropriate ICD-10-CM diagnostic and ICD-10-PCS/CPT-4 HCPCS procedural codes to the greatest specificity, assigning the most accurate DRG/APC, when appropriate and in accordance with Official Guidelines for Coding and Reporting and Facility Coding Guidelines, as applicableAccurately and completely abstracts all required patient demographic data into the EMRAccurately assigns correct DRG/APCMeets productivity standardsQueries providers, if needed to further clarify codeManages additional coding responsibilities, contributing to the CFB (candidate for bill) goals, including but not limited to: resolving coding edits and reminders, correcting abstracting and coding issues in a timely manner (1-2 business days)Completes and routes problem accounts, ready to code, high dollar and other accounts daily to ensure cases are coded as close to goal date as possibleCompletes assigned work by goal dateAssists with coding unassigned or backlogged accountsServes as a mentor to new codersAssist with cleaning up or escalating missing documentation or other work queuesIf proficient, assists with observation, same day surgery, outpatient and emergency coding when needed or assignedPerforms other duties as assignedComplies with all WellStar Health System policies, standards of work, and code of conduct.

Required Minimum Education:High School Diploma or GED

Preferred Certification(s):Cert Coding Spec (CCS)Reg Health Information Admin (RHIA)Reg Health Information Tech (RHIT)

Required Minimum Experience:

Minimum 3 years of acute care facility inpatient and/or IVR coding experience.

Required Minimum Skills:Must have demonstrated maintenance of a or higher accuracy in abstracting, code and DRG assignment while meeting productivity requirements in previous roles.Ability to work in a remote environment.Computer/data entry experience.Ability to communicate with various members of the healthcare team.Ability to use Microsoft (Excel, Word).

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