[Hiring] Clinical Coder Level I HIM Impatient Specialist @Pennsylvania Medicine

Role Description

Codes and abstracts information from inpatient and outpatient records by careful analysis and adherence to official coding guidelines assuring appropriate reimbursement, compliance with regulations, and accuracy for clinical care analysis and provider profiling.

• Demonstrates commitment to the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA).
• Assigns codes based upon clinical coding guidelines.
• Assigns ICD-10-CM diagnostic and procedure codes with appropriate present on admission indicators to inpatient records, based upon the practitioner clinical documentation.
• Determines appropriate MS-Diagnostic Related Group (DRG) based upon diagnoses and procedure codes assigned.
• Assigns ICD-10-CM diagnostic and CPT procedure codes and modifiers to outpatient accounts.
• Applies drug administration charges to outpatient accounts based on the clinical documentation and guidelines.
• Applies observation hour charges to observation accounts based on the clinical documentation and guidelines.
• Reviews and appropriately applies modifiers to the NCCI (National Correct Code Initiative) and OCE (Outpatient Code Edits).
• Abstracts required clinical and demographic data from inpatient and outpatient records.
• Participates in data quality peer review process, reviewing records according to established procedure.
• Completes a productivity record on a daily basis and submits to Clinical Coding Coordinator monthly.
• Assists with appropriate capture of inpatient case mix.

Qualifications

• High school diploma or equivalent (GED).
• Formal education in ICD-10-CM, PCS and CPT-4 coding, medical terminology, anatomy and physiology.
• Certification as a Certified Coding Specialist (CCS) or Certified Coding Specialist-Physician (CCS-P) through AHIMA (American Health Information Association).
• Experience in ICD-10-CM, PCS coding, MS-DRG assignment (this may include student work experience).
• Experience in CPT-4 coding (this may include student work experience).
• Some experience with encoding software.

Requirements

• Certified Coding Specialist (Required).
• Inpatient plus hospital coding experience a PLUS!!!

Benefits

• Comprehensive compensation and benefits program.
• One of the finest prepaid tuition assistance programs in the region.