Full-Time Inpatient Coder

As an Inpatient Coding Specialist, you will be responsible for working inpatient coding related alerts/edits, predominately post initial/final coding. You will also perform the alert/edit resolution activities in the applicable systems. The alerts/edits shall be worked according to the established procedures and thresholds and communicated as appropriate.

What you will do in this role:

• Compiles daily work list from eRequest, CRT and/or other alert/edit systems
• Takes action and resolves alerts/edits daily following established procedures and thresholds
• Enters detailed notes to update eRequest to provide details if the alert/edit cannot be resolved or must be rerouted to another responsible party for research/resolution
• Escalates alert/edit resolution issues as appropriate to minimize final billing delays
• Monitors the aging of accounts held by an alert/edit, prioritizes aged accounts first, and reports to leadership
• Works with team members in billing, revenue integrity and/or the Medicare Service Center to resolve alerts/edits
• Assigns interim DRGs for in-house patients at month end
• Completes MOCK abstracts as necessary (e.g., combining the codes for outpatient and inpatient claims subject to the payment window)
• Assists the Coding Leads and/or Coding Managers in resolving unbilled reason codes (URC)/Hold Reasons
• Communicates coding revisions to the applicable party (e.g., CIS, lead, manager, international log) 2 Job Description
• Periodically works with their manager to review individual work accomplishments, discuss work problems/barriers, discuss progress in mastering tasks and work processes, and discusses individual training needs and career progression

What qualifications you will need:

• Undergraduate (associate or bachelors) degree in HIM/HIT preferred.
• RHIA, RHIT, and or CCS preferred
• 1-year acute care inpatient coding experience required with 3 years’ experience preferred.
• RHIA, RHIT and/or CCS preferred