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Inpatient Coder/Abstractor Sr - Health Information Management
McLeod Careers Section
Remote, USA
Full-time
Entry
Remote
Discovered 1 weeks ago
Free
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The Senior Inpatient Coder is responsible for accurately assigning diagnosis and procedure codes to inpatient discharges at the larger McLeod Health facilities representing more complex medical/surgical encounters.
• Keeps abreast of all new coding developments by attending any coding classes, reading articles on coding updates, and attending seminars when available.
• Possess inpatient coding knowledge and experience necessary to accurately assign codes to determine correct principal diagnosis, identify and assign co-morbidities and complications, secondary diagnoses, present on admission indicator, discharge disposition, Hospital Acquired conditions, principal procedure, and secondary procedures on all discharged inpatient records to arrive at the most appropriate DRG assignment.
• Understands coding guidelines to accurately apply coding principles to encounters with longer lengths of stay, complex medical diagnoses and extensive surgical procedures. This includes cardiac, neurosurgery, orthopedic, pediatric, trauma, and vascular.
• Queries physicians appropriately when documentation is not clear in the medical record.
• Works closely with the Clinical Documentation Specialists to assure the most optimal DRG is assigned.
• Maintains department specific productivity standards with a 95% accuracy rate.
• Performs other duties as assigned.
Full Job Posting
Job Summary
The Senior Inpatient Coder is responsible for accurately assigning diagnosis and procedure codes to inpatient discharges at the larger McLeod Health facilities representing more complex medical/surgical encounters.
- Keeps abreast of all new coding developments by attending any coding classes, reading articles on coding updates, and attending seminars when available.
- Possess inpatient coding knowledge and experience necessary to accurately assign codes to determine correct principal diagnosis, identify and assign co-morbidities and complications, secondary diagnoses, present on admission indicator, discharge disposition, Hospital Acquired conditions, principal procedure, and secondary procedures on all discharged inpatient records to arrive at the most appropriate DRG assignment.
- Understands coding guidelines to accurately apply coding principles to encounters with longer lengths of stay, complex medical diagnoses and extensive surgical procedures. This includes cardiac, neurosurgery, orthopedic, pediatric, trauma, and vascular.
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