Health Information Management Inpatient Coding Associate, FT, Days - Remote

Inspire health. Serve with compassion. Be the difference.

Job Summary

Essential Functions

• Participates in Prisma Health's inpatient Coding Associate (apprentice) Program. Completes of all learning modules and passing of the associated module exams. - 80%

• Perform entry level by applying ICD and ICD-PCS codes to assigned inpatient records based on review of clinical documentation as per department-specific guidelines and within designated timelines. Follows up on on-hold accounts for final coding. Verifies assignment of DRGs, MCC/CCs, Hospital Acquired Conditions (HACs) and Patient Safety Indicators (PSIs) that most appropriately reflect documentation of the occurrence of events, severity of illness, and resources utilized during the inpatient encounter and in compliance with department policies and procedures. Selects the optimal principal diagnoses with appropriate POA indicator assignment and sequencing of risk adjustment diagnoses following established guidelines. Perform entry level coding by applying ICD and ICD-PCS codes to inpatient records based on review of clinical documentation. - 5%

• Learns how to identify and request physician queries following established guidelines when existing documentation is unclear or ambiguous following American Health Information Management (AHIMA) guidelines and established organization policies. - 5%

• Adheres to department standards for productivity and accuracy. - 5%

• Actively participates in all training provided online and in person if needed. - 1%

• Identify and trend coding issues escalating identified concerns to coding leadership. - 1%

• Participates in on site, remote and/or external training workshops and training. Attends and participates in CDI-Coding Task Force and other collaborative training and education with CDI, PFS and Quality. - 1%

• Demonstrates proficiency in utilizing official coding books as well as the electronic medical record, computer assisted coding/encoding software, and clinical documentation information systems to facilitate coding assignment. - 1%

• Performs other duties as assigned. - 1%

• Performs other duties as assigned.

Supervisory/Management Responsibilities

• This is a non-management job that will report to a supervisor, manager, director or executive.

Minimum Requirements

• Education - Associate degree or Coding Certificate through American Health Information Management (AHIMA) or other approved coding certification program.

• Experience - No previous experience required

In Lieu Of

• NA

Required Certifications, Registrations, Licenses

• Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC) or other approved coding credential or is eligible to take any of the aforementioned certifications. If no certification upon hire, obtain certification within 1 year of hire.

Knowledge, Skills and Abilities

• Knowledge of electronic medical records and 3M or Encoder System.

• Desire to gain hands on experience in professional fee, outpatient facility and inpatient facility coding, in addition to experience working with an electronic medical record (Epic) preferred

• Effective verbal communication skills preferred

• Excellent written communication skills preferred.

• Strong knowledge of medical terminology and basic anatomy and physiology, pathophysiology, and pharmacology with the ability to apply this knowledge to the coding process.

• Knowledge of MS DRG prospective payment system and severity systems.

• Ability to pass a coding test.

• Ability to concentrate for extended periods of time.

• Ability to work in a classroom setting as well as independently.

Work Shift

Location

Facility

Department

Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.