[Hiring] Inpatient Coder III @Nuvance Health

Role Description

Appropriately analyzes and codes complex inpatient records. Position requires high-level expertise in coding and documentation guidelines, coding clinics and knowledge of MS DRGs, CC/MCC for appropriate reimbursement and compliance. Acts as a recognized subject-matter expert, leading DRG validation, revenue integrity analyses, and strategic coding compliance projects across the department.

• Performs ICD-10-CM diagnostic and ICD-10 PCS procedural coding to maintain an accurate database & ensure accurate coding at minimum accuracy rate of 95%.
• Competent in the utilization of an electronic medical record, and computerized coding/abstracting systems.
• Applies knowledge of diagnosis related group assignment, official Coding guidelines, comorbidity/complication coding, Hospital acquired conditions, accurate present on admission assignment, and current American Hospital Association coding clinic guidance.
• Effectively and professionally communicates with providers and/or CDI staff when necessary to clarify documentation in order to assign accurate diagnoses and procedures in order to calculate the appropriate diagnosis related group and severity of illness/risk of mortality.
• Ability to code using either 3M encoder or ICD-10-CM/ICD10 PCS codebook.
• Mentors and trains junior coders.
• Performs audits as assigned by the coding manager.
• Demonstrates advanced knowledge of the impact of coding decisions on revenue cycle, including the ability to assist in appealing payer denials.
• Responds to all business office questions regarding diagnoses and procedures in a timely manner.
• May assist as needed in other coding areas.
• Attends and participates in required hospital education programs in order to maintain and enhance their coding skills and stay abreast of changes in codes, coding guidelines and regulations.
• Maintains certified coding credentials in accordance with the certified coding requirements and demonstrates annual compliance.
• Fulfills all compliance responsibilities related to the position.
• Maintain and models the organizations values.
• Demonstrates regular, reliable and predictable attendance.
• Performs other duties as assigned.

Qualifications

• Essential/Required: Certified Coding Specialist (AHIMA), or Certified Inpatient Coder (AAPC)
• Required: Specialized training in medical terminology, ICD-10-CM/ICD-10 PCS coding. Ability to decipher operative reports, medication orders & various medical records in the appropriate selection of codes. Experience in acute care coding inpatient records.
• Minimum Experience: Five years demonstrated coding experience in appropriate application of coding and documentation guidelines.
• Desired: Course work in Anatomy and Physiology and knowledge of CPT codes.
• Education Derived Education Essential: HS Graduate or Equivalent.

Requirements

• Manual: Little or no manual skills/motor coord & finger dexterity.
• Occupational: Little or no potential for occupational risk.
• Physical Effort: Sedentary/light effort. May exert up to 10 lbs. force.
• Physical Environment: Generally pleasant working conditions.

Benefits

• Salary Range: $32.23 - $59.86 Hourly DOE (Western CT Health Network Inc)
• Salary Range: $33.21 - $61.68 Hourly (Nuvance Health)