Inpatient Facility Medical Coder

Position: Medical Coder

Location: Candidates must reside in Washington or Oregon.

Responsibilities:

• Accurately assign diagnosis and procedure codes to various healthcare records, including Emergency Department, Ambulatory Surgical Center, Hospital Ambulatory Surgical Center, Observations, and Inpatient records.
• Maintain quality and productivity standards for ICD-10-CM, ICD-10-PCS, and HCPCS/CPT coding systems.
• Adhere to coding guidelines established by CMS, NCHS, AMA, NCCI, UHDDS, Medicaid, and our client.
• Communicate with physicians to clarify diagnoses and procedures.
• Abstract clinical data from health records and perform other assigned duties.

Essential Responsibilities:

• Review medical records and assign appropriate codes.
• Utilize coding software systems and electronic patient data systems.
• Validate codes and maintain system accuracy.
• Identify incomplete or inaccurate documentation and take corrective actions.
• Stay updated on coding guidelines and regulations.
• Assist with special projects and maintain confidentiality.

Qualifications:

• Minimum five years of coding experience, with proficiency in inpatient facility coding.
• High School Diploma or GED required.
• Certification in RHIT, CCS, or RHIA.
• Experience with EMR systems and computer proficiency.
• Advanced knowledge of coding systems, medical terminology, and healthcare regulations.
• Fluent in English with strong communication skills.
• Strong organizational and analytical skills, ability to work under pressure.
• Adherence to ethical coding standards.
• Willingness to undergo a coding skill test.

Preferred Qualifications:

• Degree in Health Information Management.
• Extensive experience in healthcare coding and reimbursement guidelines.
• Proficiency in computer software programs and data analysis.
• In-depth knowledge of ICD-10 coding guidelines and CMS HCC Risk Adjustment coding.