Inpatient Rehab Medical Coder - Remote | PAM Health Corporate

Inpatient Rehab Medical Coder (Remote)

The Medical Coder is responsible for:

- Performing coding and abstracting of both inpatient and outpatient medical records in accordance with ICD-10-CM coding rules and regulations

- Codes all inpatient records within 5 days of discharge (unless record is not available or critical pieces of documentation are not available) following ICD-10-CM guidelines with 95% accuracy. Will interim code if needed.

- Codes all outpatient records by the third day after discharge according to ICD-10-CM and CPT-4 guidelines with 95% accuracy, to include Ancillary and Wound Care services.

- Queries physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous or unclear for coding purposes.

- Performs necessary investigations/actions to assure the account will drop into the billing system without any problems. Informs Director of any unusual circumstances that could delay coding/billing process.

- Uses HMS to assist in accurate coding and clean claims processing. Makes sure that all necessary information is present in the record (documentation to substantiate code assignment) and all data is entered in the computer to ensure bill will drop into billing system.

- Monitors the billing error report to ensure all accounts are dropped timely and accurately. Keeps Director informed of unusual findings. - Abstracts designated fields for physician information, according to procedure, to assure physician index reports reflect actual activity.

The Medical Coder must have:

- High School diploma or its equivalent required; a CIC, CPC, CCS Coding Certification or RHIT degree is required.

- Prior inpatient rehab coding experience is required;

- Knowledge of ICD-10-CM coding skill, disease processes, medical terminology, anatomy and physiology, pharmacology and laboratory terminology in order to code accurately.

- Ability to stay updated on coding changes. - Knowledge of medical terminology, anatomy and physiology, pharmacology, and laboratory terminology.

- Must possess excellent communication, organization and numerical filing skills.

- Must possess good typing and or computer data entry skills. - Must have ability to maintain confidentiality, exercise initiative and decision making, organize work independently, willingness to work with physicians and other hospital staff, and promote a positive attitude.

- Should be able to follow directions accurately and timely, produce quality work of repetitive tasks and have preference for orderly, detail-oriented duties.

- Must understand importance of maintaining patient confidentiality, exercise initiative and decision-making and be able to organize work independently.

- Must be able to work with physicians and other hospital staff and promote a positive attitude.

- Must be computer literate