Prisma Health
Health Information Management Inpatient Coder, FT, Days, - Remote
Prisma Health, Columbia, South Carolina, us, 29228
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Health Information Management Inpatient Coder, FT, Days, - Remote
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Prisma Health 2 days ago Be among the first 25 applicants Join to apply for the
Health Information Management Inpatient Coder, FT, Days, - Remote
role at
Prisma Health Inspire health. Serve with compassion. Be the difference.
Job Summary
Codes medical information into the organization billing/abstracting systems and to complete the coding function through established best practice processes and professional and regulatory coding guidelines. Performs Inpatient coding including major traumas and Neonatal Intensive Care Unit (NICU) records by assigning International Classification of Diseases (ICD) and International Classification of Diseases-Procedure Coding System (ICD-PCS) codes as well as the Diagnosis Related Groups (DRG) assignment. Abstracts and assigns and verifies codes for Major Complications and Comorbidities/Complications and Comorbidities (MCC/CCs), Hospital-Acquired Condition/Patient Safety Indicator (HAC/PSI) and Quality Indicators capture as appropriate through documentation validation. Ensures that each diagnosis present on admission (POA) indicator is assigned appropriately. Codes for multiple facilities. Adheres to Prisma Health Coding and Compliance policies and procedures for assignment of complete, accurate, timely and consistent codes. Data reported by this incumbent is used to meet licensure requirements, is used for statistical purposes, and for financial and billing purposes. Incumbent(s) operate under the general supervision of HIM Coding leadership.
Essential Functions
All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. Applies ICD and ICD-PCS codes to inpatient records, including major traumas, and Neonatal Intensive Care Unit (NICU) records based on review of clinical documentation. Verifies assignment of DRGs, MCC/CCs, Hospital Acquired Conditions (HACs) and Patient Safety Indicators (PSIs) that most appropriately reflect documentation of the occurrence of events, severity of illness, and resources utilized during the inpatient encounter and in compliance with department policies and procedures. Selects the optimal principal diagnoses with appropriate POA indicator assignment and sequencing of risk adjustment diagnoses following established guidelines. Reviews work queues to identify charts that need to be coded and prioritizes as per department-specific guidelines and within designated timelines. Follows up on On-hold accounts daily for final coding. Identifies and requests physician queries following established guidelines when existing documentation is unclear or ambiguous following American Health Information Management (AHIMA) guidelines and established organization policies. Ensures all open queries initiated by Clinical Documentation Specialists have been addressed prior to final coding. Adheres to department standards for productivity and accuracy. Identifies and trends coding issues escalating identified concerns Consults, provides professional expertise to and collaborates with clinical documentation specialists on coding and documentation practices and standards. Performs other duties as assigned.
Supervisory/Management Responsibilities
This is a non-management job that will report to a supervisor, manager, director or executive.
Minimum Requirements
Education - Certification Program or Associate degree or Coding Certificate through American Health Information Management (AHIMA) or other approved coding certification program. Experience - Three (3) years coding experience in an acute care or ambulatory setting. Inpatient coding experience. EPIC health information system experiences preferred.
In Lieu Of
In lieu of education and experience requirements noted above, successful completion of the IP Coder Associate program or coder associate may be considered.
Required Certifications, Registrations, Licenses
Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC) or other approved coding credential.
Knowledge, Skills And Abilities
Participates in on site, remote and/or external training workshops and training. Attends and participates in CDI-Coding Task Force and other collaborative training and education with CDI, PFS and Quality. Demonstrates proficiency in utilizing official coding books as well as the electronic medical record, computer assisted coding/encoding software, and clinical documentation information systems to facilitate coding assignment. Knowledge of electronic medical records and 3M or Encoder System. Knowledge of medical terminology and basic anatomy and physiology, pathophysiology, and pharmacology with the ability to apply this knowledge to the coding process. Knowledge of MS DRG prospective payment system and severity systems. Ability to concentrate for extended periods of time. Ability to work and make decisions independently.
Work Shift
Day (United States of America)
Location
Corporate
Facility
7001 Corporate
Department
70017512 HIM Coding
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health. Seniority level
Seniority level Mid-Senior level Employment type
Employment type Full-time Job function
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Health Information Management Inpatient Coder, FT, Days, - Remote
role at
Prisma Health 2 days ago Be among the first 25 applicants Join to apply for the
Health Information Management Inpatient Coder, FT, Days, - Remote
role at
Prisma Health Inspire health. Serve with compassion. Be the difference.
Job Summary
Codes medical information into the organization billing/abstracting systems and to complete the coding function through established best practice processes and professional and regulatory coding guidelines. Performs Inpatient coding including major traumas and Neonatal Intensive Care Unit (NICU) records by assigning International Classification of Diseases (ICD) and International Classification of Diseases-Procedure Coding System (ICD-PCS) codes as well as the Diagnosis Related Groups (DRG) assignment. Abstracts and assigns and verifies codes for Major Complications and Comorbidities/Complications and Comorbidities (MCC/CCs), Hospital-Acquired Condition/Patient Safety Indicator (HAC/PSI) and Quality Indicators capture as appropriate through documentation validation. Ensures that each diagnosis present on admission (POA) indicator is assigned appropriately. Codes for multiple facilities. Adheres to Prisma Health Coding and Compliance policies and procedures for assignment of complete, accurate, timely and consistent codes. Data reported by this incumbent is used to meet licensure requirements, is used for statistical purposes, and for financial and billing purposes. Incumbent(s) operate under the general supervision of HIM Coding leadership.
Essential Functions
All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. Applies ICD and ICD-PCS codes to inpatient records, including major traumas, and Neonatal Intensive Care Unit (NICU) records based on review of clinical documentation. Verifies assignment of DRGs, MCC/CCs, Hospital Acquired Conditions (HACs) and Patient Safety Indicators (PSIs) that most appropriately reflect documentation of the occurrence of events, severity of illness, and resources utilized during the inpatient encounter and in compliance with department policies and procedures. Selects the optimal principal diagnoses with appropriate POA indicator assignment and sequencing of risk adjustment diagnoses following established guidelines. Reviews work queues to identify charts that need to be coded and prioritizes as per department-specific guidelines and within designated timelines. Follows up on On-hold accounts daily for final coding. Identifies and requests physician queries following established guidelines when existing documentation is unclear or ambiguous following American Health Information Management (AHIMA) guidelines and established organization policies. Ensures all open queries initiated by Clinical Documentation Specialists have been addressed prior to final coding. Adheres to department standards for productivity and accuracy. Identifies and trends coding issues escalating identified concerns Consults, provides professional expertise to and collaborates with clinical documentation specialists on coding and documentation practices and standards. Performs other duties as assigned.
Supervisory/Management Responsibilities
This is a non-management job that will report to a supervisor, manager, director or executive.
Minimum Requirements
Education - Certification Program or Associate degree or Coding Certificate through American Health Information Management (AHIMA) or other approved coding certification program. Experience - Three (3) years coding experience in an acute care or ambulatory setting. Inpatient coding experience. EPIC health information system experiences preferred.
In Lieu Of
In lieu of education and experience requirements noted above, successful completion of the IP Coder Associate program or coder associate may be considered.
Required Certifications, Registrations, Licenses
Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC) or other approved coding credential.
Knowledge, Skills And Abilities
Participates in on site, remote and/or external training workshops and training. Attends and participates in CDI-Coding Task Force and other collaborative training and education with CDI, PFS and Quality. Demonstrates proficiency in utilizing official coding books as well as the electronic medical record, computer assisted coding/encoding software, and clinical documentation information systems to facilitate coding assignment. Knowledge of electronic medical records and 3M or Encoder System. Knowledge of medical terminology and basic anatomy and physiology, pathophysiology, and pharmacology with the ability to apply this knowledge to the coding process. Knowledge of MS DRG prospective payment system and severity systems. Ability to concentrate for extended periods of time. Ability to work and make decisions independently.
Work Shift
Day (United States of America)
Location
Corporate
Facility
7001 Corporate
Department
70017512 HIM Coding
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health. Seniority level
Seniority level Mid-Senior level Employment type
Employment type Full-time Job function
Job function Health Care Provider Industries Hospitals and Health Care Referrals increase your chances of interviewing at Prisma Health by 2x Get notified about new Medical Coder jobs in
Columbia, SC . South Carolina, United States 5 months ago South Carolina, United States 5 months ago Professional Medical Coder II (Remote Position, Must reside in South Carolina) $5,000 Sign-on Bonus
Professional Medical Coder III (Remote Position, Must reside in South Carolina) $5,000 Sign-on Bonus
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South Carolina, United States 2 weeks ago Facility Medical Coder II (Remote Position, Must reside in South Carolina) $5,000 Sign-on Bonus
South Carolina, United States $68,700.00-$123,700.00 1 week ago Ambulatory Coder Professional Billing, FT, Days, - Remote
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South Carolina, United States $40,000.00-$52,300.00 3 days ago South Carolina, United States $16.00-$19.00 4 months ago South Carolina, United States 2 months ago South Carolina, United States 1 month ago South Carolina, United States 6 hours ago South Carolina, United States 2 months ago We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
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