Health Information Management Inpatient Coder

🕒 July 28

🌴 South Carolina – Remote

🌴 South Carolina – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥 Medical Billing and Coding

👻 Ghost score 55%

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Prisma Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 2017

🏥 Healthcare

💰 Grant on 2024-08

Healthcare

Prisma Health is a large integrated health system that operates hospitals, clinics, and related patient services in South Carolina and Tennessee. The organization employs nearly 32,000 people and focuses on providing clinical care, nursing and allied health services, and workforce training (e. g. , nurse residency programs), with an emphasis on patient-centered care and community health. The company posts career opportunities across administrative, clinical, technical, and support roles and highlights benefits, hiring events, and candidate resources on its careers site.

📋 Description

• Code medical information into Prisma billing/abstracting systems using professional and regulatory coding guidelines • Perform inpatient coding for major traumas and NICU records using ICD and ICD-PCS codes and assigning DRGs • Abstract, assign, and verify MCC/CC, HAC/PSI, and quality indicator data through documentation validation • Assign appropriate POA indicators and code records for multiple facilities • Review clinical documentation and select optimal principal diagnoses, sequencing risk-adjustment diagnoses according to established guidelines • Review work queues, prioritize charts for coding, and complete final coding for on-hold accounts daily • Identify and request physician queries when documentation is unclear or ambiguous, following AHIMA guidelines and organizational policies • Address open queries initiated by Clinical Documentation Specialists before final coding • Maintain complete, accurate, timely, and consistent coding in accordance with Prisma policies and department standards • Identify, trend, and escalate coding issues • Consult with and provide coding and documentation expertise to Clinical Documentation Specialists • Collaborate with CDI, PFS, and Quality teams on coding and documentation practices • Perform other duties as assigned

🎯 Requirements

• Education: Certification Program or Associate degree or Coding Certificate through AHIMA or another approved coding certification program • Three (3) years coding experience in an acute care or ambulatory setting • Inpatient coding experience • RHIT, RHIA, CCS, CIC or other approved coding credential required • EPIC health information system experience preferred • Proficiency using official coding books, electronic medical records, computer-assisted coding/encoding software, and clinical documentation information systems • Knowledge of electronic medical records and 3M or Encoder System • Knowledge of medical terminology, basic anatomy and physiology, pathophysiology, and pharmacology • Knowledge of MS DRG prospective payment system and severity systems • Ability to concentrate for extended periods • Ability to work and make decisions independently • Participation in on-site, remote and/or external training workshops and training

🏖️ Benefits

• Bonus eligible; sign-on bonus program details provided • On-site, remote and/or external training workshops and training • Collaborative training and education with CDI, PFS and Quality