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Work Shift
Day (United States of America)OverviewThe IP Coder 3 position reports directly to the Supervisor of Coding. Key responsibilities of the role include: Reviewing documentation in inpatient and/or IVR (interventional radiology) medical records, and accurately and completely assigning appropriate ICD-10-CM diagnostic and ICD-10-PCS/CPT-4 HCPCS procedural codes to the greatest specificity, assigning the most accurate DRG/APC, when appropriate. Abstracts demographic and coding information accurately and completely.
Responsibilities
Core Responsibilites and Essential Functions
- Codes and abstracts medical records with a minimum of 95% accuracy:
* Accurately and completely assigns appropriate ICD-10-CM diagnostic and ICD-10-PCS/CPT-4 HCPCS procedural codes to the greatest specificity, assigning the most accurate DRG/APC, when appropriate and in accordance with Official Guidelines for Coding and Reporting and Facility Coding Guidelines, as applicable
* Accurately and completely abstracts all required patient demographic data into the EMR* Accurately assigns correct DRG/APC
* Meets productivity standards
- Queries providers, if needed to further clarify code
- Manages additional coding responsibilities, contributing to the CFB (candidate for bill) goals, including but not limited to:
* Resolves coding edits and reminders, correcting abstracting and coding issues in a timely manner (1-2 business days)
* Completes and routes problem accounts, ready to code, high dollar and other accounts daily to ensure cases are coded as close to goal date as possible
* Completes assigned work by goal date
* Assists with coding unassigned or backlogged accounts - Other task as assigned:
* Serves as a mentor to new coders
* Assist with cleaning up or escalating missing documentation or other work queues
* If proficient, assists with observation, same day surgery, outpatient and emergency coding when needed or assigned
* Other tasks as assigned - Performs other duties as assigned
- Complies with all WellStar Health System policies, standards of work, and code of conduct.
- High School Education Required or
- GED Required or
- equivalent Required and
- Completed anatomy and physiology course(s). Required
- Minimum 7 years of acute care inpatient and/or IVR coding experience. Required
- Must have demonstrated maintenance of a 95% or higher accuracy in abstracting, code and DRG assignment while meeting productivity requirements in previous roles.
- Ability to work in a remote environment.
- Computer/data entry experience.
- Ability to communicate with various members of the healthcare team.
- Ability to use Microsoft (Excel, Word).
- Cert Coding Spec 1.00 Preferred 1.00
- Cert Prof Coder 1.00 Preferred 1.00
- Cert Prof Coder - Hospital OP 1.00 Preferred 1.00
- Reg Health Information Admin 1.00 Preferred 1.00
- Reg Health Information Tech 1.00 Preferred 1.00
- AAPC Preferred
Required for All Jobs
Qualifications
Required Minimum Education
Required Minimum Experience
Required Minimum Skills
Required Minimum License(s) and Certification(s)
Additional Licenses and Certifications
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