Inpatient Hospital Coder

Overview

Join to apply for the Inpatient Hospital Coder role at Boys Town National Research Hospital

Performs detailed work involved in the analysis and coding of health information for hospital facility services.

Schedule : Monday-Friday. Flexible 8-hour shift between the hours of 6a-6p.

Major Responsibilities & Duties

• Responsible for thorough and accurate coding of diseases and procedures of each inpatient / hospital record through the use of ICD-10-CM and ICD-10-PCS coding manual and 3M encoder to ensure correct assignment of the Medicare Severity-Diagnosis Related Group, (MS-DRG) or All Patient Refined Diagnosis Related Group, (APR-DRG).
• Responsible for verification of the patient's discharge disposition and to ensure the appropriate present on admission, (POA) indicators are assigned to each code. The assigned codes must support the reason for the visit that is documented by the provider in order to support the care provided.
• Assist with writing appeals or resolving coding & reimbursement issues with Pt Financial Services staff and third-party payers for DRG issues and denials to support the assigned DRG and address the clinical documentation used in the decision-making process to support the validity of the assigned codes and help implement solutions to reduce back-end billing errors.
• Collaborate with the CDI team and medical staff to ensure completeness of documentation in the charts so that appropriate codes, and ultimately the correct DRG, may be assigned, while focusing on maximizing revenue and reimbursement opportunities.
• Stay informed of current CMS requirements as well as CCI edits, Hospital Acquired Conditions (HACs) and, when applicable, NCDs and LCDs, including the addition of appropriate modifiers to ensure a clean claim the first time through.
• Conduct focused coding / encounter audits across multi-specialty practices and provide findings with suggested action plans for corrected claims and provider / staff education to the Hospital Coding Supervisor.
• Provide back-up to the Professional Coding team as needed to meet all coding group KPI's and metrics.
• Abide by the Standards of Ethical Coding as set forth by AHIMA and adhere to official coding guidelines and organizational compliance.

Knowledge, Skills, and Abilities

Required Qualifications

Preferred Qualifications

Physical Requirements, Equipment Usage, Work Environment

Care and respect for others is foundational to Boys Town. The organization maintains a culture of belonging for all employees and offers benefits including no-cost visits with Boys Town providers, affordable pharmacy benefits, mental health support, and a retirement plan with matching contributions, among others.

This advertisement describes the general nature of work to be performed and does not include an exhaustive list of all duties, skills, or abilities required. Boys Town is an equal employment opportunity employer and participates in the E-Verify program. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and / or expression, national origin, age, disability, or veteran status. To request a disability-related accommodation in the application process, contact us at 1-877-639-6003.

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