Inpatient Coder II HB Coding Full-time Days Remote - Must reside in IL IN IA or WI - Sign-on bonus eligible
Inpatient Coder II HB Coding Full-time Days Remote - Must reside in IL IN IA or WI - Sign-on bonus eligible
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Job Description
The Inpatient Coder II reflects the mission vision and values of NM adheres to the organizations Code of Ethics and Corporate Compliance Program and complies with all relevant policies procedures guidelines and all other regulatory and accreditation standards.
The Inpatient Coder II is the coding and reimbursement expert for ICD10CM diagnosis coding and ICD10PCS procedure coding for complex inpatient acute care discharges. This person possesses a strong foundation in coding conventions instructions Official Guidelines for Coding and Reporting and Coding Clinics. The Inpatient Coder II has a deep understanding of disease process anatomy/physiology pharmacology and medical terminology.
Responsibilities:
- Utilizes technical coding expertise to assign appropriate ICD10CM and ICD10PCS codes to complex inpatient visit types. Complexity is measured by a Case Mix Index (CMI) and Coder IIs typically see average CMIs of 2.2609. This index score demonstrates higher patient complexity and acuity.
- Utilizes expertise in clinical disease process and documentation to assign Present on Admission (POA) values to all secondary diagnoses for quality metrics and reporting.
- Thoroughly reviews the provider notes within the health record and the Findings from the Clinical Documentation Nurse in the Clinical Documentation Improvement (CDI) Department who concurrently reviewed the record and provide their clinical insight on the diagnoses.
- Utilizes resources within CAC (Computerized Assisted Coding) software to efficiently review documentation and select or assign ICD10CM/PCS codes using autosuggestion or annotation features.
- Reviews Discharge Planning and nursing documentation to validate and correct when necessary the Discharge Disposition which impacts reimbursement under Medicares PostAcute Transfer Policy.
- Utilizes knowledge of MSDRGs APRDRGs AHRQ Elixhauser risk adjustment to sequence the appropriate ICD10CM codes within the top 24 fields to ensure correct reimbursement and NMs ranking in US News and World Report.
- Collaborate with CDI on approximately 45% of discharges regarding the final MS or APR DRG and comorbidity diagnoses.
- Educates CDI on regulatory guidelines Coding Clinics and conventions to report appropriate ICD10CM diagnoses.
- Interprets health record documentation using knowledge of anatomy physiology clinical disease process pharmacology medical terminology to determine the Principal Diagnosis secondary diagnoses and procedures.
- Follows the ICD10CM Official Guidelines for Coding and Reporting ICD10PCS Official Guidelines for Coding and Reporting Coding Clinic for ICD10CM and ICD10PCS coding conventions and instructional notes to assign the appropriate diagnoses and procedures.
- Utilizes coding expertise and knowledge to write appeal letters in response to payor DRG downgrade notices.
- Resolves Nosology Messages/Alerts and Coding Validation Warning/Errors.
- Meets established coding productivity and quality standards.
Qualifications :
Required:
- 3 years of inpatient coding experience in an acute healthcare setting
- RHIA RHIT or CCS credential
- AHIMA membership
Preferred:
- Associates degree in related field
- RHIA RHIT with CCS or CDIP/CCDS credential
- 4 years of inpatient coding experience in a teaching hospital
Additional Information :
Northwestern Medicine is an affirmative action/equal opportunity employer and does not discriminate in hiring or employment on the basis of age sex race color religion national origin gender identity veteran status disability sexual orientation or any other protected status.
Remote Work :
Yes
Employment Type :
Fulltime
Employment Type
Remote
