Job Description

Job Description

Job Description

Position Overview:

Join our Hospital System as a Senior Medical Coder, here you will play a crucial role in ensuring accurate coding and billing processes within our acute care facility (handeling inpatient and outpatient accounts). The purpose of this position is to correctly assign ICD-10-CM diagnostic/procedure PCS codes on clinical encounters in accordance with regulatory and CMS Official Guidelines for coding and reporting to ensure accurate reimbursement.

Job Type: Fully Remote

(Work from Home)

Responsibilities:

• Assign appropriate DRG and ICD-10 codes to diagnoses and procedures for billing purposes.
• Collaborate with healthcare providers to clarify documentation for accurate code assignment.
• Conduct audits to monitor coding accuracy and compliance with regulatory requirements.
• Adherence to Health Information Management (HIM) Coding policies.
• Interprets and applies American Hospital Association (AHA) Official Coding Guidelines to articulate and support appropriate principal, secondary diagnoses and procedures.
• Aherence to The Joint Commission (TJC) and other third-party documentation guidelines in an effort to continually improve coding quality and accuracy.
• Knowledge of Anatomy and Physiology, Pharmacology, Disease Pathology, and Medical Terminology.
• Knowledge of basic coding conventions and use of coding nomenclature consistent with CMS Official Guidelines for Coding and Reporting ICD-10-CM and PCS coding.
• Ability to navigate the Electronic Medical Record to identify appropriate documentation for coding/billing in support of submitted department charges.

Qualifications:

• Certified Professional Coder (CPC), Certified Coding Specialist (CCS) or CIC Coding Credential (Required).
• Experience working in systems: HB Coding EPIC and 3M (Useful).
• Minimum of 3 years of experience in medical coding, including both inpatient and outpatient experience (Required).

*Please include copies of your certifications along with the submission of your resume.

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