Inpatient Coder II, Full-time

Job Description

The Inpatient Medical Coder II is responsible for coding and applying ICD-10-CM and PCS codes as applicable to code medical records for Brooks Rehabilitation Hospital. Reviews data from the medical record to determine or confirm codes. Performs analysis of physician documentation and provides feedback for improvement. Collaborates with internal and external resources to obtain additional documentation to support the services provided, documentation and codes billed.

Responsibilities :

• Reviews medical record to correctly apply and / or validate ICD-10-CM IRF-PAI codes.
• Supports timely, accurate and complete documentation of clinical information, facilitating modifications to clinical documentation to support services rendered and reimbursement received.
• Maintains knowledge of coding rules and regulations by staying current on issues regarding medical coding, compliance and reimbursement.
• Ability to accurately assign the IGC, etiologic diagnosis, and principal diagnosis for the UB04 and all applicable comorbidities, complications, and procedure codes
• Maintains coding accuracy of 95% or above for assigned codes.
• Completes the coding and data entry within four days of receipt and follows standard coding protocols for appropriate assignment of diagnoses and procedures.
• Seeks clarification for missing or inadequate information needed for accurate code assignment from appropriate resources.
• Maintains individual production defined by productivity standards with minimal supervision.
• Examines records timely; reviewing principal and secondary diagnoses and procedures
• Identifies records with opportunities for improved documentation.
• Communicates with designated staff either directly or through queries to facilitate complete and accurate documentation.
• Provides feedback regarding current coding practices and changes in regulations and guidelines to improve the accuracy of final code assignment
• Assists in maintaining accounts receivables at minimal levels as defined by departmental protocol by accurately assessing and correcting issues regarding medical necessity, claims denials, bundling issue sand charge capture.
• Efficiently uses available reference and coding tools and third party payer resources to research, maintain knowledge and provide feedback to department.

Qualifications :

Hours : 40 Hours per week, Monday - Friday

This is a Remote position. Must live in Florida, Georgia, South Carolina, North Carolina

Compensation : Experience, education and tenure may be considered along with internal equity when job offers are extended.

Thriving in a culture that you can be proud of, you will also receive many employee benefits such as the following :