Job Description

Why is this for you: Mishawaka, Indiana, offers a small-town feel with a close-knit community, affordable cost of living, excellent educational opportunities, and access to nature and recreational activities. It also has quality healthcare facilities and diverse economic opportunities.

Essential Job Functions:

Assign ICD-10-CM and PCS codes to hospital inpatient visits

Reviews and analyzes the content of medical records and the auto-suggested computer-assisted codes (CAC) for the appropriate assignment of ICD diagnosis/procedure codes, present on admission indicators, hierarchical condition categories, complications, and comorbidities in the proper sequence in accordance with official coding resources, resulting in an accurate DRG assignment.

Meets 95% accuracy rate in audits

Maintains productivity of 2.75 charts per hour after release from training period.

Data Analysis- Hospital Inpatient Coding

Accurately reviews and codes patient records in the following clinical areas: hospital inpatient

services.

• Data Analysis- Hospital Inpatient Coding Reviews and analyzes the content of medical records and the autosuggested computer assisted odes (CAC) for the appropriate assignment of ICD diagnosis/procedure codes, present on codes (CAC) for the appropriate assignment of ICD diagnosis/procedure codes, present on admission indicators, hierarchical condition categories, complication and comorbidities in the proper sequence in accordance with official coding resources resulting in an accurate DRG assignment. 
• Specialized Audit Auditing the accuracy of the CAC software's auto-suggested codes.
• Clinical Documentation Analysis 5 Reviews clinical documentation to ensure it accurately represents the patient's clinical picture, treatment, and diagnoses. Identifies when documentation relevant to the coding process is treatment, and diagnoses. Identifies when documentation relevant to the coding process is missing, lacks specificity, or is inconsistent, and takes steps to obtain the documentation.
• Abstracting Data: Identifies and enters data elements for abstracting.
• Coding Accuracy Meets defined coding accuracy standards.
• Advanced Information Technology: Basic understanding of how a natural language processing engine works
• Basic understanding of how a natural language processing engine works.
• Subject Matter Expert-Coding: Apply broad guidelines to specific coding situations, independently utilizing discretion and a significant level of analytic ability.
• Subject Matter Expert- Coding Understands how diagnosis and procedure codes, and reimbursement methodologies are used to determine reimbursement, public reporting of outcomes, quality of patient care, financial modeling, strategic planning, and marketing.
• Subject Matter Expert- Coding Remains current with coding and industry changes through participation in educational opportunities to maintain coding credentials.
• Subject Matter Expert- Hospital Inpatient Coding Demonstrates a thorough knowledge of hospital inpatient coding

Qualifications

• Must Have Skills/Experience: We will NOT consider candidates whose inpatient coding experience is not clearly stated on their resumes. We need inpatient facility coders who code for hospital reimbursement. A key difference is that Profee Coders use CPT codes for reporting services or procedures performed by physicians. In contrast, we use ICD-10 PCS codes. 2 years of acute inpatient coding experience, Certified Coding Specialist credential (CCS) or Registered Health Information Technologist (RHIT), or Registered Health Information Administrator (RHIA).) Preferred Skillset/Experience:
• 2 years of acute inpatient coding experience, Certified Coding Specialist credential (CCS), or Registered Health Information Technologist (RHIT), or Registered Health Information Administrator (RHIA). Preferred Skillset/Experience:
• Associate's degree in Health Information Management
• Bachelor's degree in Health Information Management
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  

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