What are the responsibilities and job description for the Inpatient Coder position at South Shore Health?
If you are an existing employee of South Shore Health then please apply through the internal career site.
Requisition Number:
R-9613
Facility:
LOC0014 - 549 Columbian Street549 Columbian Street Weymouth, MA 02190
Department Name:
SHS Revenue Integrity
Status:
Full time
Budgeted Hours:
40
Shift:
Day (United States of America)
Under experienced leadership committed to continuing education, you will be part of a skilled Revenue Cycle team that codes more than 2,000 inpatient charts per month. The Inpatient Coder is an advanced coding position that is responsible for accurate and timely assignment of codes to diagnoses and procedures for all inpatient cases
Using established department policies and procedures in conjunction with the current version of ICD-CM Classification for Hospitals, the Inpatient Coder will assign the most appropriate DRG. Inpatient Coder will utilize their experience and knowledge to determine the correct principal diagnosis, assign co-morbidities and complications, secondary diagnoses, present on admission indicators, HAC (Hospital Acquired conditions), principal procedure codes and secondary procedure codes. The Inpatient Coder is empowered at South Shore Hospital to query providers when documentation requires clarification and he/she proactively works with HIM and medical leadership to address concerning documentation trends. The Inpatient Coder works with direct support from and under the direction of the Coding Manager to make certain their skills and knowledge remain in peak condition. As a vital member of our respected professional team, the Inpatient Coder will work collaboratively with other areas of the Health Information Management department and the Clinical Documentation Integrity unit to advance the profession and reinforce the valuable contributions coders make to the care delivery system.
1 - Analyzes patient medical records and interprets documentation to identify all diagnoses and procedures. Assigns proper ICD-10 codes to charts in accordance with all CMS and coding guidelines.
2 - Validates discharge disposition based on documentation in record is correct in the EPIC system prior to completion.
3 - Applies sequencing guidelines to coded data according to official coding rules.
4 - Identifies any and/or all complications or comorbidities.
5 - Assesses the adequacy of medical record documentation to ensure that it supports the principal diagnosis, principal procedure, complications and comorbid conditions assigned codes
a - Identifies any documentation inadequacies with physician and clarifies medical record information with courtesy and tact.
6 - Answers physicians/clinician questions regarding coding principles and DRG assignment. Assists Finance, Data Processing and other departments with coding/DRG issues.
7 - Remains abreast of developments in medical record technology by pursuing a program of professional growth and development, attending educational programs and meetings, reviewing pertinent literature and so forth.
a - Utilizes professional affiliations, etc., in order to maintain current in professional developments.
b - Attends all pertinent coding seminars.
Monday- Friday start times flexible between 7am -9 am and end time between 3:30pm -5:30pm
Responsibilities if Required:
Education if Required:
License/Registration/Certification Requirements:
Certified Academy of Professional Coders - American Academy of Professional Coders, Certified Coding Associate - American Health Information Management Association (AHIMA), Certified Coding Specialist - American Health Information Management Association (AHIMA), Certified Coding Specialist - Physician Based - American Health Information Management Association (AHIMA), Certified Outpatient Coder - American Academy of Professional Coders, Certified Professional Coder - Hospital - American Academy of Professional Coders
