Coder III

ICONMA
Remote, CA
$38,74-$41,04 an hour
Remote
Full-time

Description :

  • Reviews clinical documentation and diagnostic results and applies appropriate ICDCM, and CPT codes.
  • Codes are used for billing, internal and external reporting, research and regulatory compliance activities.
  • Resolves billing related errors and assists with workflow changes and process improvement projects.
  • Meets ongoing productivity and quality standard of % accuracy rate or better.
  • Verifies that all ICD codes are correctly captured.
  • Verifies that physician is correctly abstracted.
  • Keeps abreast of coding guideline changes.
  • May identify chargeable items for facility level for given department.
  • May assign codes for diagnoses and treatment for ancillary outpatient encounters.
  • Abides by the standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to all official coding guidelines.
  • Performs other duties as assigned.
  • Additionally, the Coder III utilizes technical coding principles and APC reimbursement expertise to assign appropriate ICDCM and CPt procedures.
  • Assigns codes for diagnoses, treatment and procedure for multiple specialized departments, including Outpatient ancillary, Emergency Department, and Inpatient and Outpatient Surgery.
  • Determines the correct principal diagnosis, comorbidities, complications, secondary conditions and surgical procedures.
  • Assigns MSDRG, Present on Admission (POA) indicators, Hospital Acquired conditions), and accurately abstracts discharge dispositions.
  • Queries physicians per established policy and procedure when documentation is not clear or conflicting.

Required Skills & Experience :

  • Five years of progressive inpatient coding experience in an acute care facility.
  • High school diploma or equivalent required.
  • Completion of a certified coding program or graduate of a CAHIM accredited HIT program required.
  • CCS Credential.
  • 29 days ago
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