Inpatient Coder/Abstractor - Health Information Management
RemoteUnited States
Job Summary
Accurately assign diagnosis and procedure codes to inpatient discharges at McLeod Health facilities, determining correct principal diagnoses, co-morbidities, complications, and secondary procedures to arrive at appropriate DRG assignments. Code Obstetrics, Newborn, and Behavioral Health encounters when assigned by Supervisor or Director. Query physicians when documentation is unclear and collaborate with Clinical Documentation Specialists to ensure optimal DRG assignment. Maintain department-specific productivity standards with a 95% accuracy rate while staying current on coding developments through classes, articles, and seminars. Work 80 hours bi-weekly.
Required Qualifications
- AHIMA Registered Health Information Technician
- inpatient coding knowledge
- experience to accurately assign codes to determine correct principal diagnosis
- ability to identify and assign co-morbidities and complications
- ability to assign secondary diagnoses
- ability to assign present on admission indicator
- ability to assign discharge disposition
- ability to identify Hospital Acquired conditions
- ability to assign principal procedure
- ability to assign secondary procedures
- ability to arrive at the most appropriate DRG assignment
- ability to code Obstetrics encounters
- ability to code Newborn encounters
- ability to code Behavioral Health encounters
- ability to query physicians when documentation is not clear
- ability to work closely with Clinical Documentation Specialists
- ability to maintain department specific productivity standards with a 95% accuracy rate
- Occupation Risk Assessment
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