Inpatient Hospital Coder Job at Baptist Health (Florida) (Jacksonville)

Hospital Based Inpatient Coder III

Utilizing an electronic medical record and computerized encoder, assigns and seq...

Location

United States , Miramar

Salary:

Not provided

Memorial Healthcare System

Expiration Date

Until further notice

Requirements

High School Diploma or Equivalent
Certified Coding Associate (CCA) - American Health Information Management Association (AHIMA)
Three (3) years inpatient coding experience in a hospital setting or a graduate of the MHS coder intern program
Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS)
Proficient in basic computer skills and ability to utilize a computerized encoder and electronic medical record system
Requires critical thinking skills, effective communication skills, decisive judgment and the ability to work with minimal supervision
Must be able to work in a stressful environment and take appropriate action

Job Responsibility

Assigns and sequences diagnosis and procedure codes and present on admission indicators for inpatient encounters based on medical record documentation in accordance with Official Coding Guidelines, CMS regulations, encoder software guidance and Health Information Management (HIM) policies and procedures
Maintains strict adherence to patient confidentiality according to MHS Standards and regulatory requirements
Formulates physician queries for validation of pathological findings
Requests clinical validation queries for Clinical Documentation Integrity (CDI) review and follow-up
Seeks clarification from providers or other designated resources to ensure accurate and complete coding
Attends educational meetings and seminars to maintain certification and continuing education requirements
Reviews appropriate inpatient coding work queues daily to address coding edits and needed corrections and follows procedure to notify billing as needed
Reviews accounts and performs needed correction for internal audits and external denials
Reviews inpatient medical records to assign and sequence all appropriate diagnosis and procedure codes utilizing encoder software and following official coding guidelines
Reviews Medicare Severity Diagnosis Related Groups (MSDRGs) and All Patient Refined Diagnosis Related Groups (APRDRGs) for appropriate code assignment

Fulltime

Inpatient Coder Specialist - Hospital Based Service Line

This role will have all responsibilities of coder I, II and III in addition to: ...

Location

United States

Salary:

28.55 - 42.85 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

Coding Certification issued by American Academy of Coders (AAPC) or American Health Information Management Association (AHIMA)
Associate's Degree in Health Information Management or related field
Typically requires 7 years' experience inpatient coding in acute care tertiary facility that includes experience in revenue cycle processes, Clinical Documentation Improvement, Research and health information workflows
Advanced profiency of ICD, CPT and HCPCS coding guidelines
Advanced knowledge of medical terminology, anatomy and physiology
Excellent computer skills including the use of Microsoft office products, electronic mail, including exposure or experience with electronic coding systems or applications
Excellent communication (oral and written) and interpersonal skills
Excellent organization, prioritization, and reading comprehension skills
Excellent analytical skills, with a high attention to detail
Ability to work independently and exercise independent judgment and decision making

Job Responsibility

reviews complex inpatient documentation at a highly skilled and proficient level to assign diagnosis and procedure codes utilizing ICD-10 CM/PCS, CPT, and HCPCS
Assigns and ensures correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations utilizing an EMR and/or Computer Assisted Coding software
Adhere to organizational and internal department policies and procedures to ensure efficient work processes
Responsible for coding high dollar and long length of stay cases for all patient types
Expertise in query guidelines, and coding standards
Follow up and obtain clarification of inaccurate documentation as appropriate
Serves as a subject matter expert to Coding department leaders and peers
Recommends modifications to current policies and procedures as needed to coincide with government regulations
Maintain continuing education by attending webinars, reviewing updated CPT assistant guidelines and updated coding clinics
Knowledgeable in researching coding related topics and issues

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
Opportunity for annual increases based on performance
Premium pay such as shift, on call, and more
Incentive pay for select positions

Fulltime

Inpatient Coder

We are partnering with a leading healthcare organization to hire an experienced ...

Location

United States , Milwaukee

Salary:

35.00 - 45.00 USD / Hour

Beacon Hill

Expiration Date

Until further notice

Requirements

3+ years of recent inpatient hospital (facility) coding experience
Must be true inpatient coding – not professional fee, outpatient, or insurance-side
Strong experience with ICD-10-CM & ICD-10-PCS, MS-DRG assignment, POA indicators
Experience working in high-acuity hospital environments (300+ beds preferred)
Proven ability to maintain high accuracy (95%+ QA)
Strong critical thinking skills and ability to interpret complex documentation
Active coding certification (one of the following required): RHIA, RHIT, CCS, CPC, CIC, or COC

Job Responsibility

Review and assign accurate codes for inpatient medical records, including diagnoses and procedures
Apply ICD-10-CM, ICD-10-PCS, and MS-DRG/APR-DRG methodologies
Ensure compliance with coding guidelines, regulatory requirements, and documentation standards
Validate completeness and accuracy of clinical documentation and POA indicators
Utilize EHR systems and coding tools for accurate code assignment
Collaborate with providers through the query process to clarify documentation
Participate in audits, quality reviews, and CDI initiatives
Maintain productivity and accuracy expectations (high QA standards required)
Support documentation quality improvements and reporting metrics such as SOI, ROM, and CMI

Fulltime

Coder IV facility hospital based

Location

United States

Salary:

30.15 - 45.25 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

Minimum of five years' of coding experience in an academic medical center or an equivalent combination of coding experience and education with demonstrated competency of knowledge base
Coding QA background or similar experience preferred
Satisfactory completion of college level courses in anatomy, physiology and medical terminology preferred
EPIC health information system experience preferred
Coding certification CCA, CIC, CPC-H, CPC, CCS, RHIT, or RHIA required
Ability to concentrate for extended periods
Knowledge of medical terminology and basic anatomy, physiology, pathophysiology, and pharmacology with ability to apply knowledge to the coding process
Demonstrates skill in coding classification systems, diagnosis, procedure selection, and sequencing guidelines
Knowledge of APC prospective payment system
Demonstrates competence in coding and correct extrapolation of official coding and select billing guidelines to specific coding situations

Job Responsibility

Ensures the timely and accurate coding and completion of patient accounts within established departmental accuracy and productivity standards
Applies correct ICD CM/PCS (Inpatient) and ICD CM/CPT codes (Outpatient) guidelines meeting departmental policy regarding compliant methods, timeframes, use of applications and productivity
Assists in demonstrating medical necessity for procedures performed by ensuring that all documented disease processes are coded
Demonstrates proficiency in utilizing official coding books as well as the electronic medical record, computer assisted coding/encoding software, and clinical documentation information systems to facilitate code assignment
Reviews facility charges as provided and edits where necessary to ensure charges are compliant and substantiated by provider documentation
May require frequent and close collaboration with multiple areas of the organization including providers, Professional Coding, and Finance for audit and problem-solving activities
Demonstrates full understanding and is compliant with correct coding initiative guidelines, regulatory requirements regarding coding of medical information including but not limited to external regulatory agencies such as Quality Improvement Organizations (QIOs), the Centers for Medicare & Medicaid Services (CMS) and other payers, and the Joint Commission
Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to official coding guidelines
Queries physician when existing documentation is unclear or ambiguous following AHIMA guidelines and established policy
Brings identified concerns to Manager Coding for resolution

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

Fulltime

Hospital Coding Quality Specialist - Inpatient

Location

United States

Salary:

28.55 - 42.85 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

Coding Specialist (CCS) certification issued by the American Health Information Management Association (AHIMA)
Health Information Administrator (RHIA) registration issued by the American Health Information Management Association (AHIMA)
Health Information Technician (RHIT) registration issued by the American Health Information Management Association (AHIMA)
Associate's Degree in Health Information Management or related field
Typically requires 5 years of experience in hospital coding for a large complex health care system, which includes hospital coding, denial review and/or coding quality review functions
Demonstrated leadership skills and abilities
Demonstrates knowledge of National Council on Compensation Insurance, Inc. (NCCI) edits, and local and national coverage decisions
Expert knowledge and experience in ICD-10-CM/PCS and CPT coding systems, G-codes, HCPCS codes, Current Procedural Terminology (CPT), modifiers, and Ambulatory Patient Categories (APC), MS-DRGs (Diagnosis related groups)
Advanced knowledge in Microsoft Applications, including but not limited to
Excel, Word, PowerPoint, Teams

Job Responsibility

Reviews coded health information records to evaluate the quality of staff coding and abstracting, verifying accuracy and appropriateness of assigned diagnostic and procedure codes, as well as other abstracted data, such as discharge disposition
Ensure accurate coding for outpatient, day surgery and inpatient records
Verifies all codes and sequencing for claims according to American Hospital Association (AHA) coding guidelines, CPT Assistant, AHA Coding Clinic and national and local coverage decisions
Works collaboratively with coding leadership per their direction in reviewing records with focused diagnosis and procedure codes, including specific APCs, DRGs and OIG work plan targets to assure compliance in all areas of coding, which may give visibility into documentation that is driving codes
Works collaboratively with coding leadership to identify focused prospective records that need to be reviewed
Identifies coder education opportunities, team trends, and consideration of topics to mandate for second level account review, before the account is final coded
Reviews encounters flagged for second level review, including but not limited to
hospital acquired conditions (HACs), complications and other identified records such as core measures or trends as identified by coding leadership
Perform review of coded encounter for appropriate risk-adjustment, including accurate severity and risk of mortality assignment
Responsible for coding participation in the Clinical Documentation Improvement and Hospital Coding alignment process

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

Fulltime

Medical Coder

We are looking for an experienced Medical Coder to support a hospital-based team...

Location

United States , Metairie

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Proven experience with hospital facility coding in a medical setting
Strong working knowledge of ICD-10 and CPT code sets
Background coding patient admissions along with inpatient and outpatient hospital encounters
Certified coding credential or equivalent coding certification
Ability to work accurately through a high volume of encounters while meeting deadlines
Solid understanding of coding compliance standards and documentation review practices

Job Responsibility

Review hospital encounters and assign accurate diagnostic and procedural codes for timely claim submission and record integrity
Apply ICD-10 and CPT coding standards to inpatient, outpatient, and admission-related documentation with close attention to compliance requirements
Evaluate clinical records for completeness and follow up on missing or unclear details needed to support correct code selection
Manage a backlog of encounters efficiently while maintaining consistent coding quality and productivity
Collaborate with clinical and administrative staff to clarify documentation and resolve coding discrepancies
Support hospital coding operations by identifying and addressing issues that may affect reimbursement or reporting accuracy

What we offer

medical, vision, dental, life and disability insurance
enrollment in company 401(k) plan

Senior Director - Health Information Management

Responsible for strategic oversight and operational leadership of Coding, Clinic...

Location

United States , Miramar

Salary:

Not provided

Memorial Healthcare System

Expiration Date

Until further notice

Requirements

Bachelors
Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA)
Registered Health Information Technician (RHIT) - State of Florida (FL)
Ten (10) years of experience in a healthcare setting, with a significant portion in Health Information Management (HIM), clinical coding, and/or Clinical Documentation Improvement (CDI), including five (5) years in a leadership role.

Job Responsibility

Oversees the development and implementation of departmental strategy, goals, plans and standards consistent with the clinical, administrative, regulatory, and ethical requirements of the organization
Ensures overall adherence to MHS policies, governmental and regulatory requirements and accreditation standards
Responsible for providing operational leadership regarding the electronic medical record system and other HIM related applications, including computer-assisted coding, medical transcription and document imaging
Oversees the implementation and ongoing performance of the coder intern training program
Maintains strict adherence to patient confidentiality according to MHS Standards and regulatory requirements
Oversees HIM custodial responsibility for the storage, release, and confidentiality of the legal medical record in both paper and electronic formats
Provides professional expertise to the Privacy Department related to patient identity/fraud issues and patient requests for medical record amendments
Collaborates regularly with key stakeholders in the organization to promote communication, support revenue integrity, improve business processes, ensure reliability of internal and external reporting, and promote standardization across the healthcare system
Leads departmental operational and financial planning to ensure cost-efficient operations and to maximize profitability
Plans, organizes, manages and facilitates various budgets for HIM and Document Imaging including capital, operating, labor, and position control

Fulltime

Clinical Documentation Coordinator

We are looking for a Clinical Documentation Coordinator for full-time permanent ...

Location

United States , Las Vegas

Salary:

39.00 - 60.00 USD / Hour

Dynamic Computing Services

Expiration Date

Until further notice

Requirements

Valid license by the State of Nevada to practice as a Registered Nurse and one of the following, Certified Clinical Documentation Specialist (CCDS), Certified Clinical Documentation Specialist-Outpatient (CCDS-O) or Certified Document Improvement Practitioner (CDIP)
An international medical graduate degree and one of the following: Certified Document Improvement Practitioner (CDIP), Certified Clinical Documentation Specialist (CCDS), Certified Clinical Documentation Specialist-Outpatient (CCDS-O)
Certification in one of the following: Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA), issued by the American Health Information Management Association, Certified Professional Coder (CPC), Certified Professional Coder-Physician-based (CPC-P), AND one of the following: Certified Document Improvement Practitioner (CDIP), Certified Clinical Documentation Specialist (CCDS), Certified Clinical Documentation Specialist-Outpatient (CCDS-O)
Knowledge of: Medicare reimbursement system and coding structures
hospital policies and procedures
Joint Commission Accredited Health care Organizations standards, state statutes governing hospital services and health care, Medicare/Medicaid guidelines and other relevant regulations and standards
clinical medical and nursing procedures
disease processes
department and hospital safety practices and principles
patient rights

Job Responsibility

Responsible for improving the overall quality and completeness of clinical documentation
Facilitates modifications to clinical documentation through extensive interactions with physicians, nursing staff, other members of the health care team and Health Information Management (HIM) coding staff to ensure that appropriate reimbursement and clinical severity is captured for the level of service rendered to all patients with a DRG based payer

Fulltime

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Inpatient Hospital Coder

Job Description

Job Responsibility

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