About You
You are a person who is passionate about interpreting health record documentation using your knowledge of anatomy, physiology, clinical disease process, pharmacology, and medical terminology to determine appropriate diagnosis and procedural coding. We need someone who has a deep understanding of coding conventions, instructions, and Official Guidelines for Coding and Reporting and Coding Clinics. In the role of Inpatient Medical Coder, you will be responsible for ICD-10-CM diagnosis coding and ICD-10-PCS procedure coding for complex, inpatient acute care discharges.
- Tell us about your experience with Inpatient Medical Coding.
- Are you a team player and a self-motivator?
- What is your experience with conducting business in a way that is credit to a company?
- We are counting on you to manage multiple projects using your problem-solving skills.
- We are looking for someone UNCOMMON. What is uncommon about you?
Are you highly committed? Are you team-oriented? Do you value professionalism, trust, honesty, and integrity? If so, we cannot wait to meet you.
About The Position
- Utilizes technical coding expertise to assign appropriate ICD-10-CM and ICD-10-PCS codes to complex inpatient visit types. Complexity is measured by a Case Mix Index (CMI) and Coder II's typically see average CMI's of 2.2609. This index score demonstrates higher patient complexity and acuity.
- Utilizes expertise in clinical disease process and documentation, to assign Present on Admission (POA) values to all secondary diagnoses for quality metrics and reporting.
- Thoroughly reviews the provider notes within the health record and the Findings from the Clinical Documentation Nurse in the Clinical Documentation Improvement (CDI) Department who concurrently reviewed the record and provide their clinical insight on the diagnoses.
- Utilizes resources within 3M 360 CAC (Computerized Assisted Coding) software to efficiently review documentation and select or assign ICD-10-CM/PCS codes using autosuggestion or annotation features.
- Reviews Discharge Planning and nursing documentation to validate and correct, when necessary, the Discharge Disposition which impacts reimbursement under Medicare's Post-Acute Transfer Policy.
- Utilizes knowledge of MS-DRG's, APR-DRG's, AHRQ Elixhauser risk adjustment to sequence the appropriate ICD-10-CM codes within the top 24 fields to ensure correct reimbursement.
- Collaborate with CDI on approximately 45% of discharges regarding the final MS or APR DRG and comorbidity diagnoses.
- Educates CDI on regulatory guidelines, Coding Clinics and conventions to report appropriate ICD-10-CM diagnoses.
- Interprets health record documentation using knowledge of anatomy, physiology, clinical disease process, pharmacology, medical terminology to determine the Principal Diagnosis, secondary diagnoses and procedures.
- Follows the ICD-10-CM Official Guidelines for Coding and Reporting, ICD-10-PCS Official Guidelines for Coding and Reporting, Coding Clinic for ICD-10-CM and ICD-10-PCS, coding conventions and instructional notes to assign the appropriate diagnoses and procedures.
- Utilizes coding expertise and knowledge to write appeal letters in response to payor DRG downgrade notices.
- Resolves Nosology Messages/Alerts and Coding Validation Warning/Errors.
- Meets established coding productivity and quality standards.
Minimum Requirements:
- A minimum of three years' experience is required in an Academic Medical Center with Inpatient Coding experience.
- Current CCS, CIC, RHIA, or RHIT certification
- Position requires excellent computer/communication skills for provider and staff interactions.
- Candidate must have ability to handle multiple projects and appropriately prioritize tasks to meet deadlines.
- Candidate must have excellent organizational skills, able to understand and follow individual client Standard Operating Procedures
About Us
You are uncommon. We are, too. We are looking for people to help us in our mission of working hard at lowering healthcare administrative costs for federal government agencies, payers, and providers. At Signature, our mission is to improve the health of our clients' business and make the lives of the people we work with better. As we continue to experience exponential growth, we are looking for uncommon individuals to enhance our vision. We will continue to accomplish our mission by leading with our values of Passion, Courage, Integrity, and Respect in all interactions, making us a consistent annual Best Places to Work organization. We need uncommon leaders with uncommon qualities to shape our uncommon culture and achieve our uncommon mission.
About the Benefits
When you are a member of Signature Performance, you are a part of a solutions-based organization where the values of passion, integrity, courage, and respect are the driving forces behind all our decision-making. We trust you to do important work and bring the best version of yourself to work every day, so we want to help you achieve a work-life balance while consistently challenging yourself. Signature believes in fully developing each one of our Associates. Our performance-driven philosophy boasts competitive pay and additional position specific incentives, where world-class training and development, resources, and events drive our award-winning culture where everyone thrives.
- Health Insurance
- Fully Paid Life Insurance
- Fully Paid Short- & Long-Term Disability
- Paid Vacation
- Paid Sick Leave
- Paid Holidays
- Professional Development and Tuition Assistance Program
- 401(k) Program with Employer Match
Position Description
About You
You are a person who is passionate about interpreting health record documentation using your knowledge of anatomy, physiology, clinical disease process, pharmacology, and medical terminology to determine appropriate diagnosis and procedural coding. We need someone who has a deep understanding of coding conventions, instructions, and Official Guidelines for Coding and Reporting and Coding Clinics. In the role of Inpatient Medical Coder, you will be responsible for ICD-10-CM diagnosis coding and ICD-10-PCS procedure coding for complex, inpatient acute care discharges.
- Tell us about your experience with Inpatient Medical Coding.
- Are you a team player and a self-motivator?
- What is your experience with conducting business in a way that is credit to a company?
- We are counting on you to manage multiple projects using your problem-solving skills.
- We are looking for someone UNCOMMON. What is uncommon about you?
Are you highly committed? Are you team-oriented? Do you value professionalism, trust, honesty, and integrity? If so, we cannot wait to meet you.
About The Position
- Utilizes technical coding expertise to assign appropriate ICD-10-CM and ICD-10-PCS codes to complex inpatient visit types. Complexity is measured by a Case Mix Index (CMI) and Coder II's typically see average CMI's of 2.2609. This index score demonstrates higher patient complexity and acuity.
- Utilizes expertise in clinical disease process and documentation, to assign Present on Admission (POA) values to all secondary diagnoses for quality metrics and reporting.
- Thoroughly reviews the provider notes within the health record and the Findings from the Clinical Documentation Nurse in the Clinical Documentation Improvement (CDI) Department who concurrently reviewed the record and provide their clinical insight on the diagnoses.
- Utilizes resources within 3M 360 CAC (Computerized Assisted Coding) software to efficiently review documentation and select or assign ICD-10-CM/PCS codes using autosuggestion or annotation features.
- Reviews Discharge Planning and nursing documentation to validate and correct, when necessary, the Discharge Disposition which impacts reimbursement under Medicare's Post-Acute Transfer Policy.
- Utilizes knowledge of MS-DRG's, APR-DRG's, AHRQ Elixhauser risk adjustment to sequence the appropriate ICD-10-CM codes within the top 24 fields to ensure correct reimbursement.
- Collaborate with CDI on approximately 45% of discharges regarding the final MS or APR DRG and comorbidity diagnoses.
- Educates CDI on regulatory guidelines, Coding Clinics and conventions to report appropriate ICD-10-CM diagnoses.
- Interprets health record documentation using knowledge of anatomy, physiology, clinical disease process, pharmacology, medical terminology to determine the Principal Diagnosis, secondary diagnoses and procedures.
- Follows the ICD-10-CM Official Guidelines for Coding and Reporting, ICD-10-PCS Official Guidelines for Coding and Reporting, Coding Clinic for ICD-10-CM and ICD-10-PCS, coding conventions and instructional notes to assign the appropriate diagnoses and procedures.
- Utilizes coding expertise and knowledge to write appeal letters in response to payor DRG downgrade notices.
- Resolves Nosology Messages/Alerts and Coding Validation Warning/Errors.
- Meets established coding productivity and quality standards.
Minimum Requirements:
- A minimum of three years' experience is required in an Academic Medical Center with Inpatient Coding experience.
- Current CCS, CIC, RHIA, or RHIT certification
- Position requires excellent computer/communication skills for provider and staff interactions.
- Candidate must have ability to handle multiple projects and appropriately prioritize tasks to meet deadlines.
- Candidate must have excellent organizational skills, able to understand and follow individual client Standard Operating Procedures
About Us
You are uncommon. We are, too. We are looking for people to help us in our mission of working hard at lowering healthcare administrative costs for federal government agencies, payers, and providers. At Signature, our mission is to improve the health of our clients' business and make the lives of the people we work with better. As we continue to experience exponential growth, we are looking for uncommon individuals to enhance our vision. We will continue to accomplish our mission by leading with our values of Passion, Courage, Integrity, and Respect in all interactions, making us a consistent annual Best Places to Work organization. We need uncommon leaders with uncommon qualities to shape our uncommon culture and achieve our uncommon mission.
About the Benefits
When you are a member of Signature Performance, you are a part of a solutions-based organization where the values of passion, integrity, courage, and respect are the driving forces behind all our decision-making. We trust you to do important work and bring the best version of yourself to work every day, so we want to help you achieve a work-life balance while consistently challenging yourself. Signature believes in fully developing each one of our Associates. Our performance-driven philosophy boasts competitive pay and additional position specific incentives, where world-class training and development, resources, and events drive our award-winning culture where everyone thrives.
- Health Insurance
- Fully Paid Life Insurance
- Fully Paid Short- & Long-Term Disability
- Paid Vacation
- Paid Sick Leave
- Paid Holidays
- Professional Development and Tuition Assistance Program
- 401(k) Program with Employer Match
Security Requirements
- U.S. Citizenship or naturalized citizenship is required for this position.
- All work on all position at Signature Performance must be completed in the continental United States, Alaska or Hawaii.
- Signature Performance requires candidates to participate in interviews with their camera enabled. Interviews may be recorded for evaluation, training, quality assurance, and hiring purposes. Candidates will be provided the opportunity to consent during the application process and notified before recording begins. These requirements are applied consistently to all applicants and are a condition of participation in the selection process. Failure to meet these requirements may result in removal from consideration. Candidates who have questions, concerns or require accommodation regarding recording should notify the Talent Attraction & Strategy team before proceeding.
Work Schedule
Monday - Friday Between 6:00a - 6:00p Central TimeCompensation Range
$32.00 - $35.00/HourPosition Type
Full Time
Requires 3+ years of inpatient coding experience in an academic medical center and current CCS, CIC, RHIA, or RHIT certification. Strong computer, communication, organizational, prioritization, and problem-solving skills required.
Key Responsibilities
- assigning codes
- reviewing documentation
- collaborating with CDI
Skills & Tools
ICD-10-CM, ICD-10-PCS, 3M 360 CAC, MS-DRG, APR-DRG, AHRQ Elixhauser, Computerized Assisted Coding (CAC)
Job Details
- Category: Healthcare Services - Allied Health
- Seniority: Mid Level
- Commitment: Full Time
- Workplace: Remote — United States
- Salary: USD 66,560 – 72,800 / year
- Languages: English
Benefits
- 401k matching
- Generous paid time off
- Tuition reimbursement
- Retirement plan
About Signature Performance, Inc
A healthcare solutions organization that helps reduce administrative costs for government agencies, payers, and providers. — Industry: Healthcare