Position Description
About You
You are an experienced Critical Access/Ambulatory/Observation Inpatient Coder, looking for meaningful work and to be a part of a team of high performing coding professionals. You want to work from home, and you have healthcare coding experience, thrive in a challenging environment, and are motivated by financial incentives!
- Tell us about your experience with Critical Access/Ambulatory/Observation Inpatient Coding.
- Are you a team player and a self-motivator?
- What is your experience with conducting business in a way that is credited to a company?
- We are counting on you to manage multiple projects using your problem-solving skills.
- We're looking for someone UNCOMMON. What is uncommon about you?
About The Position
- Utilizes technical coding expertise to assign appropriate ICD-10-CM and ICD-10-PCS codes to complex inpatient visit types. Complexity is measured by a Case Mix Index (CMI) and Coder II's typically see average CMI's of 2.2609. This index score demonstrates higher patient complexity and acuity.
- Utilizes expertise in clinical disease process and documentation, to assign Present on Admission (POA) values to all secondary diagnoses for quality metrics and reporting.
- Thoroughly reviews the provider notes within the health record and the Findings from the Clinical Documentation Nurse in the Clinical Documentation Improvement (CDI) Department who concurrently reviewed the record and provide their clinical insight on the diagnoses.
- Utilizes resources within 3M 360 CAC (Computerized Assisted Coding) software to efficiently review documentation and select or assign ICD-10-CM/PCS codes using autosuggestion or annotation features.
- Reviews Discharge Planning and nursing documentation to validate and correct, when necessary, the Discharge Disposition which impacts reimbursement under Medicare's Post-Acute Transfer Policy.
- Utilizes knowledge of MS-DRG's, APR-DRG's, AHRQ Elixhauser risk adjustment to sequence the appropriate ICD-10-CM codes within the top 24 fields to ensure correct reimbursement.
- Collaborate with CDI on approximately 45% of discharges regarding the final MS or APR DRG and comorbidity diagnoses.
- Educates CDI on regulatory guidelines, Coding Clinics and conventions to report appropriate ICD-10-CM diagnoses.
- Interprets health record documentation using knowledge of anatomy, physiology, clinical disease process, pharmacology, medical terminology to determine the Principal Diagnosis, secondary diagnoses and procedures.
- Follows the ICD-10-CM Official Guidelines for Coding and Reporting, ICD-10-PCS Official Guidelines for Coding and Reporting, Coding Clinic for ICD-10-CM and ICD-10-PCS, coding conventions and instructional notes to assign the appropriate diagnoses and procedures.
- Utilizes coding expertise and knowledge to write appeal letters in response to payor DRG downgrade notices.
- Resolves Nosology Messages/Alerts and Coding Validation Warning/Errors.
- Meets established coding productivity and quality standards.
- Other duties may be assigned.
Position Requirements:
- A minimum of three years' experience is required in an Academic Medical Center with Inpatient Coding experience.
- Current CCS, CIC, RHIA, or RHIT certification
- Position requires excellent computer/communication skills for provider and staff interactions.
- Candidate must have the ability to handle multiple projects and appropriately prioritize tasks to meet deadlines.
- Candidate must have excellent organizational skills, able to understand and follow individual client Standard Operating Procedures
About Us
You are uncommon. We are, too. We are looking for people to help us in our mission of working hard at lowering healthcare administrative costs for federal government agencies, payers, and providers. At Signature, our mission is to improve the health of our clients' business and make the lives of the people we work with better. As we continue to experience exponential growth, we are looking for uncommon individuals to enhance our vision. We will continue to accomplish our mission by leading with our values of Passion, Courage, Integrity, and Respect in all interactions, making us a consistent annual Best Places to Work organization. We need uncommon leaders with uncommon qualities to shape our uncommon culture and achieve our uncommon mission.
About The Benefits
We're proud to put our signature on each one of our employees. When you are a member of Signature Performance, you are a part of a solutions-based organization where the values of passion, integrity, courage, and respect are the driving forces behind all our decision-making. We trust you to do important work and bring the best version of yourself to work every day, so we want to help you achieve a work-life balance while consistently challenging yourself. Signature believes in fully developing each one of our Associates. We deliver a performance-driven atmosphere with competitive pay, world-class training and development classes, resources, and events, an award-winning culture where everyone thrives, and so much more.
- Health Insurance for Our Associates
- Fully Paid Life Insurance
- Fully Paid Short- & Long-Term Disability
- Paid Vacation
- Paid Sick Leave
- Paid Holidays
- Professional Development and Tuition Assistance Program
- 401(k) Program with Employer Match
The above statements are intended to describe the general nature of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified.
Compensation Range
$28-$32/hour
Position Type
Full-time
Regular or Temporary
Regular
Position Requirements
- U.S. Citizenship is Required for All Positions
- Work on All Positions Must Be Completed in the Continental United States, Alaska, or Hawaii
Work Schedule
Monday through Friday, Flexible Schedule 6am to 6pm
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