Inpatient Coder II at TEKsystems

Description:

Essential Functions o Reviews and interprets health record documentation to accurately identify pertinent primary and secondary diagnosis and procedures that require code and DR assignment for properly billing inpatient records o Assigns and sequences ICD-10-CM/PCS diagnosis and procedure codes. o Presents on Admission indicators and calculates the correct MS-DRG, Severity of Illness and Risk of Mortality levels per official coding guidelines, THR coding compliance policies and procedures, CMS and other third-party payers to ensure accurate reimbursement. o Assesses high risk quality cases to accurately trigger pre-bill coding review process. o Abstracts and compiles clinical data elements such as attending physician, surgeon, consultants, ED physician, birth weight, etc. according to THR guidelines. o Validates and initiates correction of patient status, admit and discharge dates and discharge disposition for calculation of correct Oks and length of stav for correct reimbursement. • Queries physician when documentation in the record is ambiguous, inadequate, unclear or incorrect for coding and compliance purposes. • Collaborates with Clinical Documentation Specialist to improve coding and documentation. o Demonstrates and maintains adequate productivity and coding quality metrics as outlined in job description. o Demonstrates and maintains coding proficiency by staying abreast of coding guidelines as published in Coding Clinic. o Demonstrates timely completion of all THR training and education as well as maintains credentials by completing assigned continuing education credits per THR Coding Compliance requirements.

Skills:

Coding, Insurance verification, Medical claim, Medical coding, Insurance claim, Medical billing, Epic, ccs, RHIT, Rhia, ahima, AAPC, Epic certified, Patient care, Health care, Schedule appointments, Communication and people skills, Medical scheduling, Optum

Top Skills Details:

Coding,Insurance verification,Medical claim,Medical coding,Insurance claim,Medical billing,Epic,ccs,RHIT,Rhia,ahima,AAPC

Additional Skills & Qualifications:

Special Certification: RHIT, RHIA, CCS, AHIMA or AAPC "Needs 1 of these" Software: EPIC & Optum

Experience Level:

Intermediate Level

About TEKsystems:

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.