Position Summary: Ensure accurate ICD-10-CM diagnostic and procedural PCS coding for clinical encounters, adhering to regulatory and CMS guidelines to optimize reimbursement.
REMOTE INPATIENT
Responsibilities:
Review clinical documentation to assign appropriate codes and identify charge discrepancies.
Collaborate with HIM staff to clarify incomplete or ambiguous documentation.
Apply AHA and TJC coding guidelines to support accurate code selection.
Maintain coding certification and stay updated on regulatory changes.
Participate in performance improvement initiatives.
Other duties as assigned.
Qualifications:
Strong knowledge of Anatomy, Physiology, Pharmacology, and Medical Terminology.
Proficiency in ICD-10-CM and PCS coding conventions.
Ability to translate medical descriptions into accurate codes for reimbursement.
Familiarity with Electronic Medical Records and clinical content standards.
Critical thinking, problem-solving, and teamwork skills.
Strong work ethic and adherence to company policies.
Additional Information:
Required Certifications: CCS, CPC, and/or CIC Coding credential required.
Experience: Minimum 2-5 years in inpatient coding and 5- 8 years in outpatient coding.
Systems: Proficiency with HB Coding – EPIC and 3M; Microsoft Office Suite proficiency required.
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