Medical Coder Specialist

Robert Half • Sacramento, CA • 1d ago

Description

Job Responsibilities:

Reviews medical record documentation and accurately assigns appropriate ICD-10 diagnoses and procedure codes leading to the assignment of the correct Medicare Severity-Diagnosis Related Group MS-DRG or All Patient Refined Diagnosis Related Group APR-DRG. The Inpatient Coding Specialist I is responsible for verification of the patient's discharge disposition assigning the correct sources of admission for state regulation reporting purposes and ensuring the appropriate present on admission POA indicators are assigned to each code. The assigned codes must support the reason for the visit that is documented by the provider in order to support the care provided.

Correctly abstracts required data per facility specifications.

Responsible for monitoring Discharged Not Billed accounts and as a team ensures timely compliant processing of inpatient accounts through the revenue cycle.

Collaborates with Clinical Documentation Specialists CDSs and members of the medical staff to ensure completeness of documentation in the medical records so that appropriate codes and ultimately the correct Diagnosis Related Group DRG may be assigned.

Responsible for ensuring accuracy and maintaining established quality and productivity standards.

Demonstrates a high degree of independence in performance of responsibilities working effectively without direct supervision. Exhibits strong time management problem solving and communication skills.

Possesses critical thinking good judgment and decision making skills

Demonstrates excellent written and oral communication skills

Remains abreast of current Centers for Medicare and Medicaid Services CMS requirements as well as Correct Coding Initiative CCI edits Hospital Acquired Conditions HACs Patient Safety Indicators PSIs and when applicable National Coverage Determinations NCDs and Local Coverage Determinations LCDs including the addition of appropriate modifiers to ensure a clean claim the first time through.

Maintains competency and accuracy while utilizing tools of the trade such as the 3M encoder 3M Audit Expert process 3M AES 3M Clinical Documentation Improvement System 3M CDIS and abstracting systems as well as all reference materials.

Attends required system hospital and departmental meetings and educational sessions as established by leadership as well as completion of required annual learning programs to ensure continued education and growth.

Employees must abide by all Joint Commission requirements including but not limited to sensitivity to cultural diversity patient care patients rights and ethical treatment safety and security of physical environments emergency management teamwork respect for others participation in ongoing education and training communication and adherence to safety and quality programs sustaining compliance with National Patient Safety Goals and licensure and health screenings.

Requirements

Our client is specifically looking for candidates who have:

5+ years of coding experience

completion of the Coder Proficiency Exam pre-hire

Ability to adapt to and deal with change and ambiguity

Ability to plan organize prioritize work independently and meet deadlines

Ability to comply with the American Health Information Management Associations Code of Ethics and Standards and apply Uniform Hospital Discharge Data Set UHDDS standards

Ability to establish and maintain effective working relationships

Ability to manage organize prioritize multi-task and adapt to changing priorities

Ability to solve technical and non-technical problems

Ability to utilize the ICD-10-CM/PCS and CPT-4 coding conventions to code medical record entries abstract information from medical records read medical record documentation assign accurate codes for grouping of MS-DRGs and APR-DRGs

Ability to work effectively through and with others

Knowledge of diagnosis/procedure DRG grouping schemes such as MS-DRGs and APR-DRGs

Knowledge of health information systems for computer application to medical records

Ability to foster effective working relationships and build consensus

Ability to work effectively with individuals at all levels of the organization

Knowledge of CCI Correct Coding Initiatives and CMS compliance issues

Knowledge of computer systems and software used in functional area

Knowledge of standards and regulations pertaining to the maintenance of patient medical records medical records coding systems medical terminology anatomy and physiology and study of diseases

High school diploma or GED required

Licenses and Certifications:

RHIA - Registered Health Information Administrator or

RHIT - Registered Health Information Technician or

CCS - Certified Coding Specialist

Robert Half is the world's first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.

Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more.

All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.

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