Location
Ann Arbor, MI | United States
Job description
Position Summary:
Remote position responsible for coding hospital inpatient stays (IP Coder II) or outpatient records (Outpatient Coder II) review documentation and properly identifies and assigns ICD-10-CM, CPT/HCPCS and/or PCS codes for all reportable diagnoses and procedures. This includes determining the correct principal diagnosis, co-morbidities and complications, secondary conditions and surgical procedures.
This includes utilizing technical coding principals and APR and/or MS-DRG reimbursement expertise to assign appropriate ICD-10-CM diagnoses and PCS procedures, as well as abstracting these code assignments according to facility guidelines. Works collaboratively with CDI, understand Potentially Preventable Complications (PPC's)/ Hospital Acquired Conditions (HAC's), Prevention Quality Indicators (PQI's) to ensure accurate APR-DRG/SOI/ROM and their impact and other indicators as needed. This includes utilizing technical coding principals and APC reimbursement expertise to assign appropriate ICD-10-CM diagnoses and CPT procedures, as well as abstracting these code assignments according to facility guideline
Essential Functions and Responsibilities: Coding experience of:
Outpatient Coder II will be responsible for coding and charge validation (charge entry):
• Observation, Same Day Surgery, Clinic, Infusion, or
• Cath lab, IR, or
• Hem/ONC, Rad/ONC, or
• Procedure coding for Pain Management, Wound Care or
• Professional Specialty Coding, Specialty Surgery or
Inpatient Coder II will be responsible for coding:
• Inpatient visits (inclusive of <30 days of LOS and >30 days of LOS)
Proficient to review outpatient medical record documentation and accurately assigns appropriate ICD-10-CM codes for all reportable diagnoses and assigns/validates CPT codes for procedures Proficient to review hospital inpatient medical record documentation and properly identifies and assigns ICD-10-CM and/or PCS codes.
Proficient to apply (charge enter) appropriate soft codes for evaluation and management level(s), observation hours, injections, infusions, and other procedures as necessary
Proficient to validate CPT codes (charges) captured by McLaren departments such as hard-coded charges for services provided on specific encounters.
Knowledgeable to perform research and investigation regarding National Coverage Determinations (NCD) and Local Coverage Determinations (LCD) guidelines, related to the assignment of modifiers, to ensure the submission of a clean claim.
Proficient with ICD-10-CM and/or PCS codes for all reportable diagnoses and procedures. This includes determining the correct principal diagnosis, co-morbidities and complications, secondary conditions and surgical procedures.
Proficient with MS-DRG, APR-DRG
Proficient with present on admission indicator
Proficient with HAC (Hospital Acquired conditions) and when required, report through established procedures.
Proficient with Discharge Disposition code
This includes being proficient in utilizing technical coding principals and APR and/or MS-DRG reimbursement expertise to assign appropriate ICD-10-CM diagnoses and procedures, as well as abstracting these code assignments according to facility guidelines.
Meet and/or exceed the established IP or OP production standards.
Meet and/or exceed the established quality standard of 95% accuracy rate while meeting and/or exceeding production standards.
Qualifications: Required:
• Associates degree in HIT or healthcare related field.
• Three years of Facility Inpatient, Outpatient or Professional Coding experience.
• RHIT (Registered Health Information Technician (AHIMA) or CCS (Certified Coding Specialist (AHIMA) Certifications required
Equal Opportunity Employer of Minorities/Females/Disabled/Veterans
Job tags
Salary
