Wellstar

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Work Shift

Day (United States of America)

Overview

The IP Coder 3 position reports directly to the Supervisor of Coding. Key responsibilities of the role include: Reviewing documentation in inpatient and/or IVR (interventional radiology) medical records, and accurately and completely assigning appropriate ICD-10-CM diagnostic and ICD-10-PCS/CPT-4 HCPCS procedural codes to the greatest specificity, assigning the most accurate DRG/APC, when appropriate. Abstracts demographic and coding information accurately and completely.

Responsibilities

Core Responsibilites and Essential Functions

Codes and abstracts medical records with a minimum of 95% accuracy:

• Accurately and completely assigns appropriate ICD-10-CM diagnostic and ICD-10-PCS/CPT-4 HCPCS procedural codes to the greatest specificity, assigning the most accurate DRG/APC, when appropriate and in accordance with Official Guidelines for Coding and Reporting and Facility Coding Guidelines, as applicable
• Accurately and completely abstracts all required patient demographic data into the EMR
• Accurately assigns correct DRG/APC
• Meets productivity standards
• Queries providers, if needed to further clarify code

Manages additional coding responsibilities, contributing to the CFB (candidate for bill) goals, including but not limited to:

• Resolves coding edits and reminders, correcting abstracting and coding issues in a timely manner (1-2 business days)
• Completes and routes problem accounts, ready to code, high dollar and other accounts daily to ensure cases are coded as close to goal date as possible
• Completes assigned work by goal date
• Assists with coding unassigned or backlogged accounts

Other task as assigned:

• Serves as a mentor to new coders
• Assist with cleaning up or escalating missing documentation or other work queues
• If proficient, assists with observation, same day surgery, outpatient and emergency coding when needed or assigned
• Other tasks as assigned

Required for All Jobs

Performs other duties as assigned

Complies with all WellStar Health System policies, standards of work, and code of conduct.

Qualifications

Required Minimum Education

High School Education Required or

GED Required or

equivalent Required and

Completed anatomy and physiology course(s). Required

Required Minimum Experience

Minimum 7 years of acute care inpatient and/or IVR coding experience. Required

Required Minimum Skills

Must have demonstrated maintenance of a 95% or higher accuracy in abstracting, code and DRG assignment while meeting productivity requirements in previous roles.

Ability to work in a remote environment.

Computer/data entry experience.

Ability to communicate with various members of the healthcare team.

Ability to use Microsoft (Excel, Word).

Required Minimum License(s) and Certification(s)

Cert Coding Spec 1.00 Preferred 1.00

Cert Prof Coder 1.00 Preferred 1.00

Cert Prof Coder - Hospital OP 1.00 Preferred 1.00

Reg Health Information Admin 1.00 Preferred 1.00

Reg Health Information Tech 1.00 Preferred 1.00

Additional Licenses and Certifications

AAPC Preferred

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