This Healthcare Advisory Inpatient Coder role is a unique opportunity for a candidate with a strong coding consulting and revenue cycle background that is interested in joining a high-growth team that serves a client portfolio around the US. This hire will be integral in assisting our leadership team with inpatient coding in an acute care setting and will work collaboratively with other LBMC Advisory Services teams on joint healthcare engagements.
SCOPE OF WORK
* Coding: Reviews medical records for the determination of accurate code assignment of all documented diagnoses and procedures in accordance with Official Coding Guidelines. Adheres to Standards of Ethical Coding (AHIMA).
* Abstracting: Reviews medical records to determine accurate required abstracting elements (facility/client specific elements) including appropriate discharge disposition.
* Coding Quality: Demonstrates consistency in achieving or exceeding 95.5% coding accuracy in the selection of principal and secondary diagnoses ((including DRG, MCC & CC, SOI/ROM)) and procedures. Demonstrates accuracy and consistency in abstracting elements defined by per facility.
* Coder Productivity: Meets and/or exceeds inpatient coding productivity guidelines.
* Physician Queries: Demonstrates strong skills in creating appropriate and compliant physician retrospective coding queries.
* Professional Development: Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-10-CM and ICD-10-PCS coding. Completes mandatory coding education as assigned. Quarterly review of AHA Coding Clinic. Attends all required coding operations conference calls.
IDEAL CANDIDATE PROFILE
* Required: AHIMA CCS or RHIT
* Strong knowledge of MS-DRG and APR DRG classification and reimbursement structures
* Proficient at writing AHIMA compliant physician queries
* Adept at comparing documentation, code assignment and charge in the financial system for accuracy and completeness and elevating concerns to the appropriate manager
* Proficient in researching and responding to Business Office questions related to coding and/or payer-specific coding guidelines.
* Ability to use office equipment and automated systems/applications/software at an acceptable level of proficiency
* Works collaboratively with CDI, Quality, and other leadership
* Functional knowledge of EMRs, encoder, CDI tool and other support software
* 1 to 3 years’ experience performing inpatient coding in acute care setting required
* Advisory experience a plus
* High school graduate or equivalent is required
* Associate or Bachelor’s Degree in Health Information, Nursing, or other related field preferred. Years of coding experience would be considered in lieu of educational requirements
