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Inpatient Coder (US Healthcare)
Posted 9 days agoViewed
💎 Seniority level: Senior, 5+ years
📍 Location: Philippines, US time zone
🔍 Industry: Healthcare
🏢 Company: BizForce👥 1-10Business DevelopmentBusiness Information SystemsB2BInformation TechnologySoftware
🗣️ Languages: English
⏳ Experience: 5+ years
Requirements:
- 5+ years of progressive inpatient coding experience in an acute care hospital setting.
- CCS Certification (Certified Coding Specialist) is required.
- Proficiency in ICD-10-CM and ICD-10-PCS coding systems.
- Strong knowledge of anatomy, physiology, pathophysiology, and pharmacology to support accurate code assignment.
- Extensive experience coding for Orthopedics, Neurology, Cardiology, General Surgery, Trauma Level II, and high-acuity cases.
- Excellent analytical and problem-solving skills with keen attention to detail.
- Strong written and verbal communication skills for interacting with physicians, clinical staff, and documentation specialists.
Responsibilities:
- Analyze and review multi-day, multi-specialty inpatient documentation to assign accurate ICD-10-CM and ICD-10-PCS codes for diagnoses and procedures.
- Ensure accurate MS-DRG assignment and compliance with coding guidelines, payer requirements, and organizational policies.
- Collaborate with medical staff and Clinical Documentation Specialists (CDI) to validate clinical documentation, particularly for complex diagnoses such as malnutrition and sepsis.
- Develop and issue physician queries when necessary to clarify documentation for coding accuracy.
- Monitor bill hold reports and resolve coding-related holds to support timely and clean claim submission.
- Serve as a liaison to the Quality Department for PSI/HAC reviews, ensuring the accuracy of coded data for quality reporting.
- Provide mentorship and training support to Coder I, Coder II, and Coder III team members, as well as clinical coding students.
- Stay up to date with coding regulations, coding clinics, payer guidelines, and industry changes.
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