Inpatient Coder/Abstractor Sr – Health Information Management

🔥 1 hour ago

🌴 South Carolina – Remote

🌴 South Carolina – Remote

⏰ Full Time

🟠 Senior

🏥 Medical Billing and Coding

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McLeod Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded over a century ago

⚕️ Healthcare Insurance

Healthcare Insurance

McLeod Health is a healthcare organization providing a wide range of medical services in multiple locations, including Florence, Cheraw, Clarendon, Dillon, Loris, Seacoast, and Carolina Forest. It offers specialized care across various departments such as behavioral health, cancer treatment, cardiology, orthopedics, neurology, emergency and trauma services, as well as children's and women's healthcare. McLeod Health is committed to community involvement and offers wellness programs, occupational health, and patient support services. The organization is recognized for its dedication to patient safety and advanced healthcare services, including telehealth options, rehabilitation, and a variety of outpatient services. It also supports medical education through physician employment and residency programs.

📋 Description

• The Senior Inpatient Coder is responsible for accurately assigning diagnosis and procedure codes to inpatient discharges at the larger McLeod Health facilities representing more complex medical/surgical encounters. • Keeps abreast of all new coding developments by attending any coding classes, reading articles on coding updates, and attending seminars when available. • Possess inpatient coding knowledge and experience necessary to accurately assign codes to determine correct principal diagnosis, identify and assign co-morbidities and complications, secondary diagnoses, present on admission indicator, discharge disposition, Hospital Acquired conditions, principal procedure, and secondary procedures on all discharged inpatient records to arrive at the most appropriate DRG assignment. • Understands coding guidelines to accurately apply coding principles to encounters with longer lengths of stay, complex medical diagnoses and extensive surgical procedures. This includes cardiac, neurosurgery, orthopedic, pediatric, trauma, and vascular. • Queries physicians appropriately when documentation is not clear in the medical record. • Works closely with the Clinical Documentation Specialists to assure the most optimal DRG is assigned. • Maintains department specific productivity standards with a 95% accuracy rate. • Performs other duties as assigned.

🎯 Requirements

• 1 to 2 years of inpatient coding in an acute care hospital setting. • Licenses and Certifications: AHIMA Registered Health Information Technician • Memberships: Occupation Risk Assessment