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Inpatient Coder III - Educator Auditor - Full Time - Days

Department: CODING

Job Summary

The Inpatient Coding III Educator-Auditor will provide high level ICD-10-CM coding. The IP Coding Specialist III, Senior Coder will perform production-based coding, as well as serve as a subject matter expert, resource, educator and auditor to help coding and CDI team members throughout their day-to-day work.

Team Member must be able to work from home / hybrid and be independent in their coding skills.

Core Job Responsibilities

+ Act as an educational liaison and subject matter expert on inpatient hospital based coding. Develop training initiatives, tools and activities for coders in collaboration with department leadership.

+ Perform routine coding audits for quality, accuracy and productivity standards, and abstracting functions per guidelines. Review and ensure accurate coding assignments for inpatient medical records.

+ Perform accurate analysis of medical records to obtain necessary information for the appropriate sequencing and assignment of ICD-10 CM/PCS codes. Apply diagnosis codes to the highest level of specificity available.

+ Accurately assign diagnosis and procedure codes utilizing ICD-10-CM, and ICD-10-PCS.

+ Query providers in compliant manner to improve diagnosis specificity.

+ Follow proper sequencing guidelines and accurate DRG assignment, accurately capture and code SDOH, PSIs, HACs and POA indicators.

+ Achieve personal productivity and accuracy goals, and coach staff on goal achievement.

+ Comply with and promote understanding of all regulations, policies and procedures.

+ Serve as a resource, coach and role model for other coders and CDI staff.

+ Identify areas and topics for education and coding in collaboration with CDI Educator and Coding Leadership.

+ Provides coaching and education surrounding correct code selection, compliance with documentation and coding in accordance with the CMS Official Coding Guidelines.

+ Trains and precepts new inpatient coding team members.

+ Identify errors and process accounts for corrections; correct errors identified through various auditing processes; manage problematic workflow edits and other technical issues to ensure timely resolution. Provide feedback and coaching to staff.

+ Provide input to external requests for coding related inquiries.

+ Performs related duties as directed.

Education/Experience Requirements

REQUIRED:

+ Associates degree in Health Information Management, a related field or equivalent work experience.

+ Minimum of 2 years of experience with hospital based coding to include cases of cardiology, trauma, neurology, and mother/baby).

+ Familiar with AHA Coding Clinic and ICD-10-CM coding reference tools.

+ Excellent written, verbal and interpersonal communication skills.

+ Strong attention to detail and ability to meet deadlines.

+ Proficient in MS Office, EMR, billing practices, encoder software, etc.

PREFERRED:

+ Knowledge of Epic.

Licensure/Certification Requirements

REQUIRED:

+ Current certification through either the AAPC or AHIMA (CIC, CCS, CCA, CPC).

PREFERRED:

+ RHIT, RHIA.

Disclaimer

Qualified applicants will receive consideration for employment without regard to their age, race, religion, national origin, ethnicity, age, gender (including pregnancy, childbirth, et al), sexual orientation, gender identity or expression, protected veteran status, or disability.

Successful candidates might be required to undergo a background verification with an external vendor.

Job Details

Req Id 94717

Department CODING

Shift Days

Shift Hours Worked 10.00

FTE 0.94

Work Schedule HRLY NON-UNION

Employee Status A1 - Full-Time

Union Non-Union

Pay Range $27 - $44/Hourly