Job Information
Fairview Health Services Inpatient Hospital Based Coder 4 (Remote) in Saint Paul, Minnesota
Overview
Are you an experienced coding professional looking to grow your career in an established healthcare organization?
We at M Health Fairview are looking for Inpatient Hospital Based Coder 4 to join our team! This is a fully remote position approved for a 1.0 FTE (80 hours per pay period) on the day shift with an every Saturday weekend requirement.
Some of the benefits we offer at Fairview include medical insurance - as low as $0, dental insurance - also a $0 option, PTO (24 days per year starting), and a 403B with up to a 6% employer match; visit www.fairview.org/benefits to learn more and get all the details. Wages start at $28.16/hr and will increase based on experience. We also offer a $2/hr shift differential for the Saturday shift you work.
Hiring Process
You may be asked to complete a video interview for us. This is a phenomenal way to showcase who you are and why you want to work for us, plus we have the ability to share them with the leaders directly!
Responsibilities Job Description
Job Summary:
Coder 4 provides inpatient coding utilizing ICD-10-CM and ICD-10 PCS Coding Classification systems. Utilizes an encoder and computer assisted coding (CAC) software to achieve accuracy and detailed coding. Researches sophisticated coding scenarios and queries physicians on documentation for clarification.
This is an inpatient coding position for an expert, trained inpatient coder. A Coder 4 analyzes clinical documentation; assign appropriate diagnosis, procedure, and abstract the codes and other clinical data. This information is then used to determine reimbursement levels, assess quality of care, study patterns of illness and injuries, compare healthcare data between facilities and between physicians, and meet regulatory and payer reporting requirements. Assist in the resolution of clinical documentation and provide feedback to providers on the quality of their documentation.
Job Expectations:
Code and abstract clinical and demographic data for inpatient admissions using standardized coding regulations/guidelines, abstracting rules, and Fairview guidelines.
Applies technical coding principals and/or MS-DRG/APR-DRG reimbursement expertise to assign appropriate ICD-10-CM and ICD-10 PCS codes.
Knowledge of relationship of disease management, medications and ancillary test results on diagnoses assigned.
Identify and resolve clinical documentation and charge capture data discrepancies to improve quality of the clinical documentation, severity and reimbursement levels assigned, integrity of data reported.
Assigns Present on Admission (POA) value for inpatient diagnoses and identifies non-payment conditions – Hospital Acquired Conditions (HAC) and ensures correct reporting.
Query providers for additional documentation according to established procedures and guidelines in collaboration with the Clinical Documentation Integrity team.
Assist in education of multidisciplinary team members, including physicians, as it pertains to frequently changing mandated rules, regulations, and guidelines.
Evaluate, problem-solve issues and/or discrepancies, and recognize when additional information or documentation is required to accurately code records
Maintains knowledge of, and complies with, all relevant laws, regulations, policies, procedures, and standards.
Actively participates in creating and implementing improvements.
Performs other responsibilities as needed/assigned.
Validate computer assisted coding (CAC) codes for accuracy.
Timely and accurate work.
Collaborates with other Revenue Cycle Members to assure timely filing.
Contributes to the process or enablement of collecting expected payment.
Understands and Adheres to Revenue Cycle’s Escalation Policy.
Collaborate with CDI staff to initiate queries and follow up with query resolution.
Knowledge of SOI/ROM indicators, and awareness of how to improve these scores.
Knowledge of PSI indicators.
Organization Expectations, as applicable:
Demonstrates ability to provide care or service adjusting approaches to reflect developmental level and cultural differences of population served
Partners with patient care giver in care/decision making.
Communicates in a respective manner.
Ensures a safe, secure environment.
Individualizes plan of care to meet patient needs.
Modifies clinical interventions based on population served.
Provides patient education based on as assessment of learning needs of patient/care giver.
Fulfills all organizational requirements
Completes all required learning relevant to the role
Complies with and maintains knowledge of all relevant laws, regulation, policies, procedures, and standards.
Fosters a culture of improvement, efficiency, and innovative thinking.
Performs other duties as assigned
Qualifications
Required
Education
- Certificate program in coding or Associate degree in HIM
Experience
- One year of inpatient coding experience
License/Certification/Registration
- One of the following: Registered Health Information Administrator (RHIA) Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC)
Preferred
Education
- Associates or bachelor’s degree in HIM
Experience
- Two or more years of inpatient coding experience
License/Certification/Registration
Registered Health Information Technician (RHIT)
Registered Health Information Administrator (RHIA)
Certified Coding Specialist (CCS)
Certified Inpatient Coder (CIC)
Additional Requirements:
Basic knowledge of Windows-based computer software. Due to differences in scope of care, practice, or service across settings, the specific experience required for this position may vary.
Keeping up to date with CEU’s.
One of the above certifications must be obtained within 1 year of employment
EEO Statement
EEO/AA Employer/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status