Coder – Inpatient. Level III – Certified, Department of Health Information Management (HIM)

Job description

Overview Review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10-CM and ICD -10 –PCS codes for billing, internal and external reporting, research and regulatory compliance. Under the direction of the director of Health Information Management, accurately code inpatient conditions and procedures as documented in the medical record using ICD-10 Official Guidelines for Coding. Resolve error reports associated with billing process, identify and report error patterns, and, when necessary, assist in design and implementation of workflow changes to reduce billing errors. Responsibilities: - Utilizing all required electronic applications interprets and abstracts pertinent patient health information from documentation in the medical record. Identifies the principle, secondary diagnosis and procedures including complications and co morbidities. Assigns present on admission (POA) value. All coders are required to continuously maintain the required standards of their level. Level III Must code a minimum of 17 records per a day. All levels must code with the accuracy rate of 92-93 %. - Be able to identify any discrepancies between the demo...