Inpatient Coder II at APN Software Services, Inc.

Title: Coder Inpatient II

Location: Fully remote

Duration: 6 months

Hours: M-F 8-4, but can be flexible if needed

Openings: 2

EXPERIENCE DESCRIPTION: A minimum 1-year recent experience at an academic medical center inpatient coding or 3 years of recent hospital inpatient coding experience is required. A minimum of three years of experience as an inpatient coder at an academic facility is preferred. EDUCATION DESCRIPTION: Coding Certificate Program Completion or Associate Degree in HIM or equivalent is required. Bachelor's degree in HIM or equivalent is preferred.

SPECIAL SKILLS DESCRIPTION: This position requires knowledge of anatomy, physiology and pharmacology. The ability to adapt to and use tools to support coding functions including the encoder, EHR, and other software applications is necessary. LICENSURE DESCRIPTION: Certified RHIA/RHIT or CCS is required.**

DUTIES:

This is a remote, advanced position functioning under general supervision and utilizing independent decision making. The Coder Inpatient II correctly assigns ICD diagnosis and procedure codes and MS-DRGs for inpatient hospital services at Froedtert Hospital, an academic, Level I Trauma Center. The Coder Inpatient II codes a variety of medical and surgical specialties such as Neurology, Oncology, Urology, Transplant, OB/Newborn, Ortho, Cardiology, and Critical Care which can include complex trauma and acutely ill patients. Coders in this role communicate with care providers when necessary mainly via the electronic query process. In order to ensure the most appropriate DRG assignment, coders partner with clinical documentation improvement specialists with the goal of obtaining the most complete and accurate medical record documentation. The Coder Inpatient II will resolve problems and make decisions independently. The coders in this position will apply all departmental coding quality guidelines and meet productivity standards, while maintaining a 95% overall accuracy rate. The coder must understand that the hospital's strategic initiatives (financial, statistical and quality benchmarking) rely on the accuracy and integrity of all data coded by them. Effective communication is vital to this position. A high degree of ability to adapt to change and work as a team is extremely important to this role. Other duties as assigned.

Accurately assigns DRG's to hospital inpatient accounts. Accurately assigns diagnosis and procedure codes

Abstracts required information from accounts accurately per facility guidelines. Queries physicians when documentation is incomplete following facility guidelines and procedures. Writes queries independently with minimal assistance from the coordinators. Shows minimal need to query following reviews as documented in QA findings. Assigns Present on Admission (POA) indicators accurately.

Maintains productivity (charts per hour) in accordance with facility expectations. Assigns codes for all assigned acuities and procedures attaining the standard for the appropriate case mix average for this coding role. Assigns codes for all assigned length of stays attaining the standard for the length of stay average for this coding role.

Maintains the standard productive percent Works the Combine/Uncombine process as assigned Codes mortality cases accurately and timely in accordance with hospital policy Codes Rehab cases for both facilities at admission and discharge Denials/Support Sends timely and thorough rebuttals for insurance denials when requested Participates in other projects as assigned

SKILLS:

A minimum 1-year recent experience at an academic medical center inpatient coding or 3 years of recent hospital inpatient coding experience is required.

A minimum of three years of experience as an inpatient coder at an academic facility is preferred.

This position requires knowledge of anatomy, physiology and pharmacology.

The ability to adapt to and use tools to support coding functions including the encoder, EHR, and other software applications is necessary.

EDUCATION:

Coding Certificate Program Completion or Associate Degree in HIM or equivalent is required.

Bachelor's degree in HIM or equivalent is preferred.

Certified RHIA/RHIT or CCS is required.