Inpatient Coder III
Description
At Nuvance Health, we enjoy the benefits of a two-state system as we cultivate an inclusive culture where everyone feels welcomed, respected and supported. Together, we are a team of 15,000+ strong hearts and open minds. If you share our values of connected, personal, agile and imaginative, we invite you to discover what’s possible for you and your career.
Summary:
Appropriately analyzes and codes complex inpatient records. Position requires high-level expertise in coding and documentation guidelines, coding clinics and knowledge of MS DRGs, CC/MCC for appropriate reimbursement and compliance. Acts as a recognized subject-matter expert, leading DRG validation, revenue integrity analyses, and strategic coding compliance projects across the department.
Responsibilities:
- Performs ICD-10-CM diagnostic and ICD-10 PCS procedural coding to maintain an accurate database & ensure accurate coding at minimum accuracy rate of 95%.
- Competent in the utilization of an electronic medical record, and computerized coding/abstracting systems.
- Applies knowledge of diagnosis related group assignment, official Coding guidelines, comorbidity/complication coding, Hospital acquired conditions, accurate present on admission assignment, and current American Hospital Association coding clinic guidance.
- Effectively and professionally communicates with providers and/or CDI staff when necessary to clarify documentation in order to assign accurate diagnoses and procedures in order to calculate the appropriate diagnosis related group and severity of illness/risk of mortality.
- Ability to code using either 3M encoder or ICD-10-CM/ICD10 PCS codebook.
- Mentors and trains junior coders.
- Performs audits as assigned by the coding manager.
- Demonstrates advanced knowledge of the impact of coding decisions on revenue cycle, including the ability to assist in appealing payer denials.
- Responds to all business office questions regarding diagnoses and procedures in a timely manner.
- May assist as needed in other coding areas.
- Attends and participates in required hospital education programs in order to maintain and enhance their coding skills and stay abreast of changes in codes, coding guidelines and regulations.
- Maintains certified coding credentials in accordance with the certified coding requirements and demonstrates annual compliance.
- Fulfills all compliance responsibilities related to the position.
- Maintain and models the organizations values
- Demonstrates regular, reliable and predictable attendance
- Performs other duties as assigned.
Working Conditions:
Manual: Little or no manual skills/motor coord & finger dexterity
Occupational: Little or no potential for occupational risk
Physical Effort: Sedentary/light effort. May exert up to 10 lbs. force
Physical Environment: Generally pleasant working conditions
Company: Nuvance Health
Org Unit: 2070
Department: Coders
Exempt: No
Salary Range: $33.21 - $61.68 Hourly