Inpatient Coder - Coding and Documentation, Remote in FL OnlyFull Time
Company: Health First
Posted on: November 24, 2022
* This position is a full time remote, work from home
opportunity. You must reside within the state of Florida.
To be fully engaged in providing Quality/No Harm, Customer
Experience, and Stewardship by providing timely, complete and
accurate data collection for quality clinical analysis and revenue
Maintain and observe patient confidentiality as outlined in the
National Patient Safety Goals and HIPAA guidelines protecting the
confidentiality of the health record at all times and refuse to
access protected health information not required for coding-related
Knowledge of the regulatory environment and legislation related to
code assignment changes.
Ensures that all work areas and equipment, whether remote or
on-site, are in safe and working condition.
Maintain a clean, safe, and organized work atmosphere.
Literacy and proficiency in computer technology and Health
Information/Coding applications needed for departmental efficiency
and job performance.
Solid proficiency in computer assisted coding work flow processes
with accurate execution and efficiency.
Uphold regulatory compliance by consulting validated coding
references for accurate code assignment and sequencing rules, i.e.,
ICD-9/ICD10 and CPT-4 Official Coding Guidelines, AMA Coding Clinic
for ICD-9/ICD-10, AMA Coding Clinic for HCPCS, AMA CPT Assistant,
National Correct Coding Initiative edits, National and Local
Coverage Determinations, medical dictionary, pharmaceutical and
drug references, and anatomy and physiology references, etc.
Validate accuracy of codes assigned by the Computer Assisted Coding
tool, recognizing inappropriate application of clinical coding
rules/guidelines making revisions to the codes assigned based upon
expert subject knowledge and provider documentation.
Interpret clinical documentation to ensure codes reported are
clearly and consistently supported by the health record.
Request clarification from provider when there is conflicting,
incomplete, or ambiguous information in the health record regarding
a significant reportable condition or procedure or other reportable
Maintain coding accuracy as per departmental standards-approving,
editing, and assigning ICD-9-CM and CPT-4 codes in the computer
assisted coding application based on physician documentation in
accordance to Coding and Compliance Guidelines.
Abstract pertinent information accurately and completely into the
computer assisted coding application.
Abstract Present On Admission Indicator on inpatient medical
records as per the ICD-9-CM Coding Guidelines related to this
Verify documentation of patient status is indicated in the medical
Verify and revise according to documentation in the medical record
of the proper discharge disposition.
Notification to medical records/registration personnel of any
identified discrepancies of patient information in the medical
Knowledge of structure and content of the electronic health record
displaying ability and competency to navigate the EHR accurately
and efficiently for data quality collection and code
Attends monthly department meetings and bi-monthly coding
Attends departmental educational opportunities offered related to
the appropriate field of coding expertise.
Earn 8 CEU's yearly related to coding profession.
Review Coding Clinic for ICD-9 quarterly updates and complete
coding clinic quizzes.
Excellent communication, problem solving and critical thinking
Provide professional and courteous communication to customers,
families, other associates, and leadership at all times.
Provide professional, precise, and complete communication with
physician office/registration staff regarding documentation
concerns related to post discharge queries as necessary to clarify
documentation/coding related issues.
Respond and relay documentation/coding issues/concerns from and to
Health First departments and physician's offices in a polite and
considerate demeanor, utilizing the highest standard of customer
Demonstrate behavior that reflects integrity, shows a commitment to
ethical and legal coding practices, and fosters trust in
Always displays professionalism and respect; every person, every
Optimize the DRG of each inpatient medical record always following
the official ICD Coding Guidelines for each case scenario.
Maintains productivity standards according to departmental
Meets discharged not final coded (DNFC) departmental goals.
Responds timely to pre-bill edits received ensuring a prompt
turn-around-time to assist in facilitating an efficient revenue
Analyze and reply to denial management issues presented identifying
documentation concerns and validating accuracy and completeness in
Provide departmental coding coverage by cooperating with occasional
schedule revisions and overtime requests when staffing needs
Accountable and dependable time and attendance record to ensure
daily workflow and departmental productivity guidelines are
4 years inpatient coding experience with coding certification
(AHIMA or AAPC)
Non-certified with 8 years inpatient coding experience
Successful completion of internal DRG inpatient coding assessment
with passing score of at least 75%.
Keywords: Health First, Melbourne , Inpatient Coder - Coding and Documentation, Remote in FL OnlyFull Time, Other , Rockledge, Florida
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