R.A.M. Healthcare Consulting Group, INC (R.A.M. HCG) is assisting a Hospital Facility Client with 2 Direct Hire REMOTE Inpatient coder positions. These are not contract jobs.
- Client cannot hire in the following states: CA, NY, CO, NJ, IL, AK, HI and Seattle, WA.
- Experience with DRG’s and PCS coding for TRUE IP Facility Experience; For inpatient Hospital Based Facility coders, ICD-CM-PCS and DRG experience is what stand out.
- A minimum of 2-5 years of previous inpatient coding experience is required. Experience in acute care facility inpatient and/or Trauma Level II coding preferred.
This position may also be responsible for identifying appropriate charges based on documentation and coding guidelines. When documentation or a valid order is incomplete, vague, ambiguous, or missing, it is the responsibility of the incumbent to work in conjunction with HIM staff to utilize the appropriate physician clarification process to obtain additional information that provides a codable sign, symptom, or diagnosis and/or physician order. Other responsibilities include:
- Apply clinical knowledge of disease processes, physiology, pharmacology, and surgical techniques by reviewing and interpreting all clinical documentation in an inpatient record.
- Adherence to Health Information Management (HIM) Coding policies.
- Interprets and applies American Hospital Association (AHA) Official Coding Guidelines to articulate and support appropriate principal and secondary diagnoses and procedures.
- Adherence to The Joint Commission (TJC) and other third-party documentation guidelines to continually improve coding quality and accuracy.
- Responsibility for maintaining coding certification and knowledge referencing current.
- ICD-10-CM coding guidelines and regulatory changes.
- Contact the appropriate department or HIM staff member for assistance in obtaining physician clarification of diagnoses.
- Participates in performance improvement initiatives as assigned.
- Clarify physician documentation by utilizing an established query process.
- Demonstrates knowledge of sequencing diagnoses and procedure codes outlined in the ICD-10-CM/PCS Official Coding Guidelines, Uniform Hospital Discharge Data Set, AHA Coding Clinics, CMS guidelines and other resources as applicable.
- May provide education and support to clinical areas in regard to appropriate documentation and code assignment.
- KNOWLEDGE, SKILLS & ABILITIES
- Knowledge of Anatomy and Physiology, Pharmacology, Disease Pathology, and Medical Terminology.
- Knowledge of basic coding conventions and use of coding nomenclature consistent with CMS Official Guidelines for Coding and Reporting ICD-10-CM and PCS coding.
- Accurate translation of written diagnostic descriptions to appropriately and accurately assign ICD-10- CM diagnostic codes and procedural PCS codes to obtain optimal reimbursement from all payer types, including Medicare/Medicaid and private insurance payers.
- Ability to navigate the Electronic Medical Record to identify appropriate documentation for coding/billing in support of submitted department charges.
- Knowledge of clinical content standards.
- Utilize critical thinking and problem-solving abilities.
- Ability to work well with others.
- Uphold a strong work ethic characterized by honesty and dependability.
- Demonstrate personal time management skills, including organization, prioritization, and multitasking.
- Adherence to company policies, procedures, and directives
Position is remote
Credential: CCS, COC, CPC-H
Benefits:
Client offers a very Competitive Benefit package including:
• Pay Range: $30.00 to $40.00 Per hour
• Medical, Dental and Vision
• PTO
• 4% Matching 401k