Inpatient Coder Abstractor--Health Information Management

Location
Charlottesville, VA
Salary
Competitive
Posted
Jun 21, 2018
Closes
Jun 24, 2019
Ref
112772BR
Function
Administrative
Industry
Healthcare
Hours
Full Time
Codes inpatient accounts applying appropriate ICD-10-CM/ICD-10-PCS/CPT-4 codes for hospital reimbursement, mortality & morbidity outcomes, research & statistical and regulatory compliance. Abstracts, codes and assigns necessary demographic and clinical data elements required for inpatient records. Effectively utilizes encoder software to assure appropriate reimbursement and accurate DRG & MSDRG assignment. Completes all work in accordance with defined productivity and quality standards. As necessary, consults or queries the physician for additional information or clarification of diagnoses, co-morbid/secondary conditions, and procedures. Provides physicians education on coding, documentation and medical necessity requirements. Assures optimal ethical reimbursement for coded encounters and assures coding practices fall within established compliance guidelines. Uses concurrent documentation database to accurately reflect queries and updates to DRG cases. Must work collaboratively with Nursing Staff on Concurrent Documentation Improvement Team for severity levels within coding guidelines. Performs other related duties as requested by HIM management.

Qualifications

Education Level
High School Grad or Equivalent

Experience
Required: Coding - 2 years

Preferred: None, unless noted in the "Other" section below

License
Required: None, unless noted in the "Other" section below

Preferred: Cert Coding Specialist

Skills
None, unless noted in the "Other" section below

Other
Educational coursework in anatomy, physiology, and current coding practices required. CCS or CIC required within 1 year of hire

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