HIM Inpatient Coder

Overview

Job Description - HIM Inpatient Coder )

Providence Health

• Accurate assignment of ICD-10, CPT or HCPCS codes based on clinical documentation from the medical record and in compliance with coding rules and guidelines. Assigns accurate DRG using compliant documentation and encoder. Understands the coding guidelines and uses them to select the appropriate diagnosis.
• Applies coding guidelines to achieve correct coding assignments. Responds to requests for unbilled account follow up.
• Interprets physician documentation within compliant coding guidelines. Obtains clarification from physicians regarding vague and unclear medical record documentation. Queries the physician per LifePoint coding guidelines when appropriate.
• Participates in the Hospital Acquired Conditions (HAC) and HARMS pre-bill review workflow.

• Education: High School graduate required. Minimum of two year college degree required from accredited institution. Must have minimally and successfully completed medical terminology, anatomy & physiology and ICD-10 coding education.
• Licensure: RHIA, RHIT, CCS combination preferred – requires at least one accreditation and certification. Prior experience with case management and clinical documentation improvement and ICD-10 Trainer certification preferred. Coding certification must be completed within 1 year if course work supports applicant.
• Professional
  
  Experience:
  
  Minimum of two years of Health Information Management (HIM) experience with a minimum of two years inpatient coding experience. Will accept candidate with 5 years HIM experience, AHIMA coding education training, ICD
  10 training and one year of hospital based inpatient coding.