Medical Coder Inpatient - Dubai
Centra Health
Medical Coder Inpatient (Remote)
Lynchburg, VA
Job Description
The Hospital Inpatient Coder reviews inpatient medical records and assigns International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10 CM) diagnosis and International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) procedure codes that derives an All Patient Refined Diagnosis Related Group (APR-DRG) or Medical Severity Diagnosis Related Group (MS-DRG) for optimal reimbursement. The Hospital Inpatient Coding Specialist will abstract pertinent information according to established guidelines for the organization and will formulate provider queries to clarify information.
Responsibilities
• Reviews clinical documentation and assigns diagnosis and procedure codes.
• Verifies accuracy of Diagnosis Related Group (DRG)
• Accurately abstracts required information.
• Initiates provider coding queries in compliance with coding guidelines and policies where appropriate.
• Meets established productivity and accuracy standards.
• Verifies and assigns discharge status codes.
• Ensures presence of a completed Medicaid certification prior to finalizing coding.
• Appropriately assigns the Hospital Acquired condition (HAC) and Present on Admission (POA) indicator for each diagnosis.
• Communicate with Clinical Documentation Integrity (CDI) Specialist via email, phone, or other methods regarding accounts.
• Participates in team, organization and educational meetings.
Participates in educational programs, reading official coding publications such as the American Hospital Association’s (AHA) Coding Clinic for ICD-10-CM/PCS, AHA Coding Clinic for HCPCS, AMA CPT Assistant) to expand coding knowledge and stay abreast of changes in codes, coding guidelines, regulatory and other requirements.
Other Functions
• Observes confidentiality and safeguards all patient related information.
• Remote home office skills including PC use and maintenance, knowledge of Microsoft Office products including Excel and Outlook.
• Communicates in a positive and professional manner with patients, providers, and staff.
• Thoroughness and attention to detail
• Performs other duties as assigned.
Qualifications
Required Qualifications:
• High School Diploma or equivalent
• Completion of coding training program to include anatomy & physiology, medical terminology, basic ICD-10-CM and ICD-10-PCS coding OR Completion of an approved Inpatient Coder Bootcamp
• 0-2 Years Of Acute Care Inpatient Coding Experience Required.
• Demonstrated working knowledge of ICD-10-CM and ICD-10-PCS by passing coding competency assessment administered before hire.
• Demonstrated working knowledge in medical terminology, anatomy and physiology, and disease process by passing coding competency assessment administered before hire.
• Knowledge of Inpatient Prospective Payment System (RPPS), Diagnosis Related Group (DRG) methodologies, Severity of Illness (SOI), and Risk of Mortality (ROM)
• Obtain coding credential through AHIMA, RHIA, RHIT, CCS or CCA within 2 years of hire date and maintain credential.
Preferred Qualifications
One or more certifications: RHIA, RHIT, CCS or CCA
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