IP Coder
Good Shepherd Rehabilitation Network
Center Valley, Pennsylvania, United States, 18034
Full-time
- 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- MAINTAINS HISTORICAL REFERENCE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
PI249181242
1 day ago