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Work Shift
Various (United States of America)
Job Summary:
The 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.
Core Responsibilities and Essential Functions:
Codes and abstracts medical records with a minimum of 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.
Required Minimum Education:
- High School Diploma Other or GED Other or Other / Certificate Anatomy
Required Minimum License(s) and Certification(s):
All certifications are required upon hire unless otherwise stated.
- Cert Coding Spec-Preferred
- Cert Prof Coder-Preferred
- Cert Prof Coder - Hospital OP-Preferred
- Reg Health Information Admin-Preferred
- Reg Health Information Tech-Preferred
Additional License(s) and Certification(s):
Upon Hire Preferred
Required Minimum Experience:
Minimum 3 years of acute care inpatient and/or IVR coding experience. Required
Required Minimum Skills:
Must have demonstrated maintenance of a 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).
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