Him Inpatient Coder

Overview

• Provide expertise in coding rules, policies, and procedures to ensure compliance with industry standards and regulations.
• Interpret and apply National Uniform Billing Compliance rules to support claims payment and provider reimbursement.
• Perform health data analytics to inform reimbursement business and policy decisions effectively.
• Review coding in provider contracts and develop coding standards to enhance compliance.
• Conduct audits and reviews of medical records to ensure coding accuracy and compliance.
• Recommend corrective actions and educational programs to address coding-related denials and rejections.
• Collaborate with departments to validate external reporting and ensure accurate data representation.
• Adapt to changing departmental demands to improve efficiency and compliance.

Key Responsibilities & Duties

• Verify accurate assignment of diagnoses and procedures within medical records to meet federal and state regulations.
• Monitor regulatory updates and implement changes to maintain compliance with coding standards.
• Conduct internal and external reviews for coding accuracy and compliance.
• Develop and coordinate educational programs on coding and documentation for staff and providers.
• Provide statistical reports and data on compliance issues and quality assurance results.
• Assist in implementing policy and procedural changes to enhance coding quality and efficiency.
• Collaborate with departments to validate HACs, PSIs, and complications for accurate reporting.
• Support other departments with ICD-10-CM and ICD-10-PCS coding expertise.

Job Requirements

• Bachelor of Science (BS) degree required; Associate's degree preferred.
• Minimum of 5 years of inpatient coding experience necessary.
• Certified Coding Specialist (CCS) certification required.
• Experience with encoder and EMR computer systems preferred.
• Knowledge of denials management and coding compliance standards preferred.
• Strong organizational, interpersonal, verbal, and written communication skills required.
• Ability to manage multiple projects in a fast-paced environment effectively.
• Familiarity with ICD-10-CM and ICD-10-PCS coding systems essential.