Health Information Management Inpatient Coder

🔥 12 minutes ago

🌴 South Carolina – Remote

🌴 South Carolina – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥 Medical Billing and Coding

🦅 H1B Visa Sponsor

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👻 Ghost score 13%

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Prisma Health

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

⚕️ Healthcare Insurance

Healthcare • 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

• 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 assign DRGs • Abstract, assign, and verify MCC/CC, HAC/PSI, and Quality Indicator data through documentation validation • Assign appropriate POA indicators and code for multiple facilities • Review clinical documentation to select principal diagnoses, sequence risk adjustment diagnoses, and verify DRGs and severity indicators • Review and prioritize coding work queues within designated timelines • Follow up daily on on-hold accounts for final coding • Identify and request physician queries when documentation is unclear or ambiguous • Address open queries initiated by Clinical Documentation Specialists before final coding • Maintain complete, accurate, timely, and consistent coding in compliance with Prisma Health policies • Meet department productivity and accuracy standards and escalate coding concerns • Consult with and collaborate with clinical documentation specialists on coding and documentation practices • Participate in training workshops and CDI-Coding Task Force activities • Perform other duties as assigned

🎯 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 experience preferred • RHIT, RHIA, CCS, CIC or other approved coding credential required • Knowledge of electronic medical records and 3M or Encoder System • Knowledge of medical terminology and basic anatomy and physiology, pathophysiology, and pharmacology • Knowledge of MS DRG prospective payment system and severity systems • Proficiency using official coding books, electronic medical records, computer-assisted coding/encoding software, and clinical documentation information systems • Ability to concentrate for extended periods of time • Ability to work and make decisions independently • Successful completion of the IP Coder Associate program or coder associate may be considered in lieu of stated education and experience requirements

🏖️ Benefits

• Bonus eligible • Full-time employment • Day shift

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