Facility Inpatient Coder

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Client name: ATRIUM HEALTH WAKE FOREST BAPTIST MEDICAL CENTER

Hospital Inpatient Coder The coders should have minimum of 3+ years current inpatient coding experience for acute care hospitals, preferably an academic medical center or Level 1 Trauma center.

SUMMARY Analyzes EMR and reviews clinical data by assigning ICD-10-CM and ICD-10-PCS codes from patient records in accordance with coding classification systems.

Reviews patient encounters for accurate code assignment of all relevant diagnoses and procedures. Enters appropriate codes into the hospital's encoder system for the transfer of data to billing files for reimbursement.

Queries physicians when documentation is not straightforward, inadequate, ambiguous or unclear for coding purposes.

KEY FUNCTIONS

1. Analyzes EMR and reviews clinical data by assigning ICD-10-CM and ICD-10-PCS codes from patient records in accordance with coding classification systems.

2. Reviews patient encounters for accurate code assignment(s) of all relevant diagnoses, procedures, and POA.

3. Applies guidelines and coding clinics as necessary

4. Coder meets and maintains a production rate of 95% or higher.

5. Coder meets and maintains an accuracy rate of 95% on all coded records.

6. Queries physicians when documentation is not straightforward, inadequate, ambiguous or unclear for coding purposes.

7. Prior Remote Coding experience a must Must have a Coding Certification of RHIA, RHIT or CCS. 3+ years CURRENT Inpatient Coder work experience in an acute care hospital EPIC/3M CAC experience is a plus This is acute care facility coding (no risk adjustment or profee coders here.) Audited regularly with expected 95% or better Candidates will be required to complete an Atos inpatient coding assessment and a Wake Forest inpatient coding assessment.

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