Remote Inpatient Coder
POSITION: Remote IP CDI DEPARTMENT: Health Information Management START: 8/24/26 or ASAP LOCATION: Remote JOB DESCRIPTION: Under indirect supervision, is responsible for accurate coding of Inpatient accounts for an Academic Level I Trauma facility. Will code Inpatient procedures, diagnoses and conditions, working from the appropriate documentation in the medical record. Required to work with Cerner/Clin Trac, 3M 360 CAC. All work is carried out in accordance with the rules, regulations and coding conventions of the American Hospital Association (Coding Clinic), ICD-10-CM, Centers for Medicare and Medicaid Services (CMS), and Individual State Health Planning and Development and organizational/institutional coding guidelines. REQUIRED SKILLS: · Accurately assign and sequence ICD-10 diagnostic and ICD-10 procedure codes to inpatient records for use in reimbursement and data collection. · Minimum of 5yrs IP Trauma Level I facility coding experience required. · Ensure all accounts are coded correctly and promptly, which will provide an accurate MS-DRG or APR-DRG for appropriate reimbursement. · Verify patient information to identify any discrepancies and ensure that all codes and any other abstracted information is applied to the appropriate patient's encounter. · Assess documentation and if necessary query the physician for additional information when indicated to clarify a diagnosis, symptom, or any reason for services provided. · Trauma Level I / Teaching Facility / Burn Center experience required Transplants, rehab, cardiovascular, pediatrics coding experience required · Computer Savvy is a must and ability to work independently/follow workflow process instructions. · Must have attention to detail MENTALITY. · Strong and prompt email communication/etiquette. PERFERRED SKILLS: · Must have recent IP Coding at a Level I Trauma facility and total of 5yrs Trauma I experience. · Must possess a thorough knowledge of ICD-10-CM/PCS working in a Level I Trauma facility along with coding Burns. · Experience coding Burns. · Recent Cerner/Clin Trac/3M360 CAC experience. · Works the review queue on a daily basis to ensure all charts that are placed in the review queue are worked and any corrections are communicated to the facility if necessary. · Experience working with CDI. · Coders must maintain their current professional credentials. Preferred Epic Experience: Abstracting charge sessions in Charge Router EDUCATION: · High school diploma or equivalent required. · Requires one of the following coding credentials: AHIMA (CCS, CCS-P, or RHIA/RHIT) · Must be proficient with Facilities Coding Standards. · Minimum of five (5) years' experience in Inpatient medical coding Level I Trauma. · Working knowledge of ICD-10-CM/PCS.