IP Coder

JOB SUMMARY

• Reviews patient records, assigns diagnostic and procedural codes, performs related functions and participates in Performance Improvement activities.

ESSENTIAL FUNCTIONS

• DIAGNOSTIC CODING OF ALL MEDICAL RECORDS REPORTED ON PATIENT BILLS
• By coding all diagnoses, treatments, and procedures according to the appropriate classification system for the category of patient encounter
• By accurately coding all inpatient records in accordance with ICD-10 CM/PCS coding rules and guidelines in a timely manner with a 95% accuracy rate
• By following approved coding conventions, assigns diagnostic and procedural codes to inpatient records
• Reviews AHA Coding Clinic and demonstrates the ability to accurately apply new coding guidelines.
• Researches new diagnostic and procedure codes as required performing the coding function.
• Informs coding supervisor of trends and opportunities for improvement in clinical documentation.
• Works collaboratively with other coders.
• Adheres to the American Health Information Management’s Code of Ethics.
• LOCATES MEDICAL RECORDS THAT REQUIRE CODE ASSIGNMENT
• By searching master patient index; identifying location of existing patient records and obtaining the documentation required for code assignment.
• MAINTAINS MEDICAL RECORDS OPERATIONS
• By following policies and procedures; reporting needed change
• RESOLVES MEDICAL RECORD DISCREPANCIES
• By acting as a resource to other staff on coding issues
• By assisting the physicians with documentation improvement via the diagnostic query form
• By collecting and analyzing information
• MAINTAINS HISTORICAL REFERENCE
• By abstraction and data entry of all inpatient records into the Good Shepherd Hospital computer system for clinical and financial purposes
• By abstracting and coding clinical data, such as diseases, procedures, using standard classification systems.
• By providing DRG/CMG forecasting information to Nurse Liaison as needed.
• By accurately assigning the correct principal diagnosis on LTCH and rehab accounts.
• By performing weekly/bi-weekly concurrent chart reviews for any potential DRG/CMG changes during the patient stay.
• By coding all discharged charts timely and accurately
• PROVIDES MEDICAL RECORD INFORMATION
• By providing codes for billing and answers questions from hospital staff
• By assisting physicians and other direct patient care professionals in questions regarding level of detail for diagnostic entries, according to the organization’s guidelines
• MAINTAINS THE STABILITY AND REPUTATION OF THE HOSPITAL
• By complying with legal requirements.

QUALIFICATIONS:

• To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Education
• High School Diploma required
• Completion of the AHIMA independent study program preferred
• Work Experience
• 2-4 years of inpatient coding experience utilizing ICD-9-CM and/or ICD-10-CM/PCS required
• Licenses / Certifications
• RHIA, RHIT, CCS, CPC, active member in AHIMA preferred

GOOD SHEPHERD'S UNIVERSAL FLU PROGRAMAs a health-care provider, we have a professional and ethical obligation to protect our patients and residents from developing further complications.GOOD SHEPHERD'S UNIVERSAL FLU PROGRAMTo protect our patients and residents, Good Shepherd requires influenza (flu) vaccinations for all Associates, licensed independent practitioners, contracted, agency and temporary employees, students and volunteers.***Important Note: Good Shepherd Penn Partners is a drug and tobacco free work environment. As a result, candidates selected for employment may be subject to a drug screen test. Good Shepherd Penn Partners does require the COVID vaccination for all employees.***Good Shepherd is an Equal Employment Opportunity employer and does not discriminate in its hiring or employment practices. All qualified applicants will receive consideration without regard to their race, color, creed, religion, national origin, age, disability, sex, sexual orientation, veteran status or any other characteristic protected by State or Federal law.

Job Type: Full-time

Benefits:

• Dental insurance
• Employee assistance program
• Employee discount
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Parental leave
• Professional development assistance
• Referral program
• Retirement plan
• Tuition reimbursement
• Vision insurance

Schedule:

• Day shift
• Monday to Friday

Education:

• High school or equivalent (Preferred)

Experience:

• coding: 1 year (Preferred)

Work Location: In person