Inpatient Medical Coder - Remote/Nationwide

This is a remote based position. Applicants can be located nationwide Inpatient Medical Coder #2922 United States Position Description About You You are a person who is passionate about interpreting health record documentation using your knowledge of anatomy, physiology, clinical disease process, pharmacology, and medical terminology to determine appropriate diagnosis and procedural coding. We need someone who has a deep understanding of coding conventions, instructions, and Official Guidelines for Coding and Reporting and Coding Clinics. In the role of Inpatient Medical Coder, you will be responsible for ICD-10-CM diagnosis coding and ICD-10-PCS procedure coding for complex, inpatient acute care discharges. - Tell us about your experience with Inpatient Medical Coding. - Are you a team player and a self-motivator? - What is your experience with conducting business in a way that is credit to a company? - We are counting on you to manage multiple projects using your problem-solving skills. - We are looking for someone UNCOMMON. What is uncommon about you? Are you highly committed? Are you team-oriented? Do you value professionalism, trust, honesty, and integrity? If so, we cannot wait to meet you. About The Position - Utilizes technical coding expertise to assign appropriate ICD-10-CM and ICD-10-PCS codes to complex inpatient visit types. Complexity is measured by a Case Mix Index (CMI) and Coder II's typically see average CMI's of 2.2609. This index score demonstrates higher patient complexity and acuity. - Utilizes expertise in clinical disease process and documentation, to assign Present on Admission (POA) values to all secondary diagnoses for quality metrics and reporting. - Thoroughly reviews the provider notes within the health record and the Findings from the Clinical Documentation Nurse in the Clinical Documentation Improvement (CDI) Department who concurrently reviewed the record and provide their clinical insight on the diagnoses. - Utilizes resources within 3M 360 CAC (Computerized Assisted Coding) software to efficiently review documentation and select or assign ICD-10-CM/PCS codes using autosuggestion or annotation features. - Reviews Discharge Planning and nursing documentation to validate and correct, when necessary, the Discharge Disposition which impacts reimbursement under Medicare's Post-Acute Transfer Policy. - Utilizes knowledge of MS-DRG's, APR-DRG's, AHRQ Elixhauser risk adjustment to sequence the appropriate ICD-10-CM codes within the top 24 fields to ensure correct reimbursement. - Collaborate with CDI on approximately 45% of discharges regarding the final MS or APR DRG and comorbidity diagnoses. - Educates CDI on regulatory guidelines, Coding Clinics and conventions to report appropriate ICD-10-CM diagnoses. - Interprets health record documentation using knowledge of anatomy, physiology, clinical disease process, pharmacology, medical terminology to determine the Principal Diagnosis, secondary diagnoses and procedures. - Follows the ICD-10-CM Official Guidelines for Coding and Reporting, ICD-10-PCS Official Guidelines for Coding and Reporting, Coding Clinic for ICD-10-CM and ICD-10-PCS, coding conventions and instructional notes to assign the appropriate diagnoses and procedures. - Utilizes coding expertise and knowledge to write appeal letters in response to payor DRG downgrade notices. - Resolves Nosology Messages/Alerts and Coding Validation Warning/Errors. - Meets established coding productivity and quality standards. Minimum Requirements: A minimum of three years' experience is required in an Academic Medical Center with Inpatient Coding experience. Current CCS, CIC,