CHIM Consulting Corporation Inpatient Coder Remote · Full time

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Job Title: Inpatient Coder

Location: Remote or Onsite

Department: Medical Coding

FLSA Status: Full Time, Non-Exempt

Job purpose

Review the medical record to assure specificity of diagnoses, procedures and appropriate/optimal reimbursement for hospital and/or professional charges. Abstract information from medical records following established methods and procedures.

Duties and responsibilities

• Assign ICD10 CM Diagnosis Codes and ICD 10 PCS Procedure Codes for assigned accounts.
• Select and sequence principal and secondary diagnosis and procedure codes.
• Assign appropriate DRG.
• Review the medical record and all applicable documentation to determine the appropriate codes to assign for the services and diagnoses.
• Be knowledgeable of billing and coding requirements for governmental guidelines and private insurance payers.
• Abstract statistical data from the patient record and enter information following the facility guidelines.
• Utilize coding resources along with any other applicable reference material available to ensure accuracy in coding for all of the assigned services.
• Review documentation of various providers to determine accurate coding for all medical services and surgical procedures from available medical records within electronic medical records.
• If the diagnosis is unclear prepare and assign queries following the facility guidelines for the query process.
• Determine all appropriate diagnoses and assign the most specific ICD-10 code.
• Assist other departments in coding and reimbursement issues.
• Follow all HIPAA regulations and uphold a higher standard around privacy requirements.
• Develop trusted relationships with the client contacts and other team members around the globe.
• Adhere to all internal competencies, behaviors, policies and procedures to ensure efficient work processes.
• Completes all assigned work in a timely manner based on internal, client and/or payer standards.
• Maintain at least a 98% accuracy rate at all times.
• Maintain productivity standards, tracking and deadlines.
• Maintain and complete accurate productivity and tracking logs.
• Keep all equipment updated and active on the internet.
• Comply with established facility policies and procedures.
• Other duties as deemed necessary by management

Education and Experience

• At least 2 years of experience Inpatient Coding
• Credentials necessary (one of the following):
• -RHIT,RHIA CIC,CCS