Pre-Bill Coder Specialist – Inpatient

Job Description: • Prioritizes and codes and abstracts high dollar charts, day after discharge, as well as interim charts • Reviews complex medical documentation at a highly skilled and proficient level from clinicians, qualified health professionals and hospitals to assign diagnosis and procedure codes utilizing ICD CM/PCS, CPT, and HCPCS • Assigns and ensures correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations utilizing an EMR and/or Computer Assisted Coding software • Assigns codes for present on admission, research, Hospital acquired Conditions and Core Measure Indicators for all diagnoses both concurrently and post-discharge • Collaborates with other departments to clarify pre-bill coding documentation issues such for inpatient and outpatient to insure reimbursement and clinical outcomes • Works claim edits for all patient types and may codes consecutive/combined accounts to comply with the 72-hour rule and other account combine scenarios • Completes informal peer-review on inpatient and outpatient coders • Tracks and trends quality information from internal and external sources to partner with the educational team on opportunities • Communicates with Medical Staff, CDI, Post -bill for documentation clarification • Utilizes EMR communication tools to track missing documentation on inpatient queries that require follow-up to facilitate coding in a timely fashion • Partners with HIM, Patient Accounts, and Integrity, when needed, to help resolve issues affecting reimbursement and outcomes • Maintains current knowledge of changes in Inpatient coding and reimbursement guidelines and regulations as well as new applications or settings for coding all types of patients • Must be able to use critical decision-making skills to determine when to query to clarify documentation independently for outcomes, reimbursement and benchmarking Requirements: • Two Year associate degree or equivalent work experience • Five to Seven years of inpatient coding experience in an acute care inpatient setting in an Academic Inpatient Care Tertiary Facility • Advanced proficiency of ICD, CPT and HCPCS coding guidelines • Advanced knowledge of medical terminology, anatomy and physiology • Excellent computer skills including the use of Microsoft office products, electronic mail, including exposure or experience with electronic coding systems or applications • Excellent organization, prioritization, and reading comprehension skills • Excellent analytical skills, with a high attention to detail • Ability to work independently and exercise independent judgment and decision making • Ability to meet deadlines while working in a fast-paced environment • Ability to take initiative and work collaboratively with others Benefits: • Paid Time Off programs • Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability • Flexible Spending Accounts for eligible health care and dependent care expenses • Family benefits such as adoption assistance and paid parental leave • Defined contribution retirement plans with employer match and other financial wellness programs • Educational Assistance Program Apply Now Apply Now