Health Information Management Inpatient Coder

🕒 6 days ago

🌴 South Carolina – Remote

🌴 South Carolina – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥 Medical Billing and Coding

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Prisma Health

WebsiteLinkedInAll Job Openings

10,000+ employees

⚕️ Healthcare Insurance

Healthcare Insurance

Prisma Health is a comprehensive health care provider offering a wide range of medical services to ensure individuals achieve their healthiest state. With numerous locations, advanced technology, and expert specialists, Prisma Health provides accessible and convenient care. Services include primary care, specialized heart, cancer, women's, and children's health, as well as same-day and telehealth options. Prisma Health emphasizes community outreach and education to support overall health and wellness.

📋 Description

• Codes medical information into the Prisma billing/abstracting systems using established professional and regulatory coding guidelines. • Ensures that each diagnosis present on admission (POA) indicator is assigned appropriately. • Codes for multiple facilities. • Adheres to Prisma Health Coding and Compliance policies and procedures for assignment of complete, accurate, timely and consistent codes. • Performs Inpatient coding including major traumas and Neonatal Intensive Care Unit (NICU) records by assigning International Classification of Diseases (ICD) and International Classification of Diseases-Procedure Coding System (ICD-PCS) codes as well as the Diagnosis Related Groups (DRG) assignment. • Abstracts and assigns and verifies codes for Major Complications and Comorbidities/Complications and Comorbidities (MCC/CCs), Hospital-Acquired Condition/Patient Safety Indicator (HAC/PSI) and Quality Indicators capture as appropriate through documentation validation. • Verifies assignment of DRGs, MCC/CCs, Hospital Acquired Conditions (HACs) and Patient Safety Indicators (PSIs) that most appropriately reflect documentation of the occurrence of events, severity of illness, and resources utilized during the inpatient encounter and in compliance with department policies and procedures. • Selects the optimal principal diagnoses with appropriate POA indicator assignment and sequencing of risk adjustment diagnoses following established guidelines. • Reviews work queues to identify charts that need to be coded and prioritizes as per department-specific guidelines and within designated timelines. • Follows up on On-hold accounts daily for final coding. • Identifies and requests physician queries following established guidelines when existing documentation is unclear or ambiguous following American Health Information Management (AHIMA) guidelines and established organization policies. • Ensures all open queries initiated by Clinical Documentation Specialists have been addressed prior to final coding. • Adheres to department standards for productivity and accuracy. • Identifies and trends coding issues escalating identified concerns. • Consults, provides professional expertise to and collaborates with clinical documentation specialists on coding and documentation practices and standards.

🎯 Requirements

• Certification Program or Associate degree or Coding Certificate through American Health Information Management (AHIMA) or other approved coding certification program. • Three (3) years coding experience in an acute care or ambulatory setting. • Inpatient coding experience. • EPIC health information system experiences preferred. • Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC) or other approved coding credential.

🏖️ Benefits

• Inspire health. • Serve with compassion. • Be the difference.