Sr Hospital Coder - Remote
Ochsner HealthAbout the role
We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways.
At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today!
This job reviews and accurately codes and abstracts the most complex hospital services, in-patient procedures, overnight / multi-night stay services and all other complex medical services. Utilizes appropriate coding guidelines to assign ICD and CPT codes; conforms to applicable Medicare, Medicaid and other third-party payer guidelines to ensure receipt of accurate reimbursement; works in collaboration with the Clinical Documentation Improvement team to ensure accurate DRG assignment and works closely with management to resolve problems and meet deadlines.Education
Required - High School diploma or equivalent
Preferred- Completion of American Health Information Management Association (AHIMA) accredited coding program with certification.
Work Experience
Required - 3 years coding experience
Certifications
Required - Certification as a Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC), Registered Health Information Administrator (RHIA), OR a Registered Health Information Technician (RHIT)
Knowledge Skills and Abilities (KSAs)
- Effective verbal and written communication skills and the ability to present information clearly and professionally to varying levels of individuals throughout the patient care process.
- Must have computer skills and dexterity required for data entry and retrieval of information.
- Must be proficient with Windows-style applications, various software packages specific to role and keyboard.
- Knowledge of ICD-9-CM, ICD-10, and coding principals.
- Excellent decision making, problem solving, analytical and quality management skills.
- Proven ability to code complicated inpatient cases.
Job Duties
- Accurately assigns ICD-10 codes within the established coding guidelines, rules and regulations. Types of Coding may include but not limited to, Coding of Diagnoses and PCS procedures of complex hospital accounts performed in the inpatient setting, including both concurrent coding and coding of discharged accounts.
- Ensures the data integrity of coded patient records by reviewing the medical documentation and validating that documentation is sufficient to support the assigned codes.
- Acts as a resource by researching patient accounts in response to questions and/or errors.
- Consistently complies with established department productivity and accuracy standards.
- Collaborates with the CDI nurse to identify query opportunities for documentation improvement and to ensure accurate DRG assignment.
- Works in collaboration with team members and other departments to meet departmental monthly goals which may include one or more of the following: DNFB, Pre-AR, Denials and Claim Edits.
- Verifies correct discharge disposition based on medical documentation.
- Other related duties as required.
The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time.
Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards.
This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns.
The employer is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status,
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