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Inpatient Coder
Remote Inpatient Coder needed for level II trauma facility; utilizes Optum 360 CAC and Cerner Millennium; productivity expectation is 1.5 charts per hour
Identifies reviews and assigns complex ICD-9-CM/ICD-10-CM/PCS codes, POA indicators and PSI indicators, surgical complications to most accurately report the MS-DRG and Severity of Illness/Risk of Morality. Identifies reviews and assigns complex ICD-9-CM/ICD-10-CM/PCS or CPT/HCPCS codes, and abstracts clinical information from inpatient/outpatient types. Extracts pertinent information from clinical notes, operative notes, radiology reports, laboratory reports, (including Pathology), procedure records, specialty forms, etc. Determines complex code assignment pertinent to diagnostic workups, surgical techniques, advanced technology and special services, identifies medical and surgical complications and untoward events for accurate MS-DRG/APR-DRG or APC assignment.
All coding and abstracting is for the purpose of reimbursements, research, and compliance with federal regulations and other agencies utilizing established coding principles and protocols. Clarifies complex discrepancies in documentation and coding; assures accuracy and timeliness of coding/abstracting assignments to expedite the billing process and to facilitate data retrieval for physician access and ongoing patient care. Supports special studies in relation to coding and abstracting information according to policies and procedures. Maintains knowledge and skills; reads current coding resources clinical information, videos, etc. Meets or exceeds quality and productivity standards and established department benchmarks. Performs other duties as assigned.
Location: remote,
Type: Contract
Pay: Apply for details
1737