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Inpatient Coder II Accuity Job Type
Full-time
Description
The Inpatient Coder II is the second level coding position in a 3-tier career ladder. Inpatient Coder IIs will evaluate inpatient medical records and accurately assign the appropriate ICD-10 CM/PCS codes, Present on Admission (POA) indicators, and relevant DRGs. The Coder II must be skillful in the identification and assignment of all diagnoses and procedures in accordance with nationally recognized coding guidelines, as well as researching opportunities to improve documentation.
PRIMARY JOB RESPONSIBILITIES:
Assigns appropriately sequenced and compliant ICD-10 CM/PCS codes as documented in the electronic medical record (EMR). Applies definition of principal diagnosis for proper assignment of MS-DRGs, APR-DRGs, and POA indicators using a designated encoder/grouper, while ensuring compliance with nationally established coding guidelines. Utilizes selected encoder and/or computer-assisted coding software (CAC) set forth by client and Accuity. Abstracts pertinent data from documentation in accordance with client, state, and federal reporting requirements. Identifies instances in which provider clarification is necessary to ensure quality, completeness of documentation, and optimal, compliant reimbursement and communicates to appropriate channels. Updates and/or recommends coding changes as necessary due to additions or revisions in physician documentation and Internal Controls and Quality. Maintains required standards of performance in both coding accuracy and productivity to meet client turnaround and satisfaction. Records accurate production logs, time keeping, and other relevant tracking information daily. Performs additional job-related duties as assigned from coding management within pre-determined schedule. Stays current with most recent coding changes and guidance from CMS, AHA Coding Clinics, AHIMA, Official Inpatient Coding Guidelines, as well as internal education from Physicians, CDI and Coding leadership. Completes required Continuing Education hours to maintain credential requirements. Participate in Coding department meetings and other events as assigned. Maintains a collegial working relationship with other departments. Accepts coaching, training, and education on a routine basis as needed.
Requirements
POSITION QUALIFICATIONS:
Education:
Minimum HS Diploma or GED required Coding credential required from AHIMA (RHIA, RHIT, CCS) or AAPC (CPC, CIC) Associate's or bachelor's degree in HIM or coding preferred Experience:
Minimum 5 years of current Inpatient facility coding experience; minimum 2 years Level 2 trauma center and/or 2 years academic teaching medical center Extensive knowledge of ICD-10 guidelines and coding regulations Demonstrated knowledge in DRG methodologies and compliant reimbursement practices Knowledge, Skills, and Abilities:
Proficiency in utilizing a variety of EMR systems, EPIC experience preferred Independently research coding questions and utilize Accuity's internal educational resources Ability to use a PC in a Windows environment, including MS Word, MS Excel, MS Teams Autonomous, focused individual able to work remotely or on-site in a rapidly growing organization Philadelphia, PA, US, 19117Posted a day ago Environmental Scientist - Entry Level . Pace Analytical Services, LLC At Pace, everything we do is built upon an unwavering commitment to making the world a safer, healthier place. We continually work to develop innovative practices that drive sustainability and empower our partners with accurate, quality data at every critical moment and milestone. Greensburg, PA, US, 15601Posted a day ago Grossing Technician I. Quest Diagnostics Incorporated All traning provided to work in a Pathology/Histology lab as a Grossing Technician! Recent graduates encouraged to apply! This positionis an entry-level grossing position. The individual will perform surgical gross examinations of small, uncomplicated specimens. The level of supervision for each specimen type will be determined by the technical supervisor and/or laboratory director. Perform routine and non-routine activities involved in the preparation of surgical specimens for histologic processing, according to policies and procedures. Assure appropriate specimen accessioning andlabeling Maintain the integrity of the specimen and patient identification. Describe gross anatomic features of routine, uncomplicated surgical specimens, ensuring that all lesions,markingsand sutures are mentioned. Capable of grossing low to moderately complex/complicated (i.e., G.I. biopsies, EMC/ECC, uncomplicated skin biopsies, lipomas, etc.) specimens under direct and indirect supervision, as applicable to training and experience. Escalates non-routine, complicated surgical specimens to Pathologist Assistants or Pathologists. Record measurements, weight,volumeand any abnormal findings as applicable. Dissect surgical specimens and prepare tissues for histologic processing. May be trained to perform basic Histology functions (i.e., embedding, microtomy, routine and special stains and frozen sectioning) if personnel meet all requirements as outlined in corporate Minimum Qualifications forHistotechnicianSOP. Perform specimen preparation on non-gynecological specimens, includingcytopreparation, staining,coverslipping, etc. after completing training on non-gynecological specimen types. This includes specimen preparation of Fine Needle Aspiration (FNA) specimens Complete all associated paperwork (i.e., workload recording, PM/temperature charts, etc.) Follow the laboratory's applicable procedures for job-related responsibilities. Interact directly with pathologists regarding gross dissection/description activities, including defined specimen types that require direct supervision by a pathologist. Identify problems that may adversely affect test performance or reporting of test results and either correct the problems or immediately notify the histology supervisor/manager, technical supervisor, or director. Ensure all corporate safety, quality control and quality assurance standards are met. Ensure compliance with all local, federal, CLIA and CAP regulations. Maintain a clean and well-organized work area. Comply with all required Quest Diagnostics corporate continuing education requirements. Other duties, as assigned by supervisor. QUALIFICATIONS Required WorkExperience: Meets all requirements as outlined in corporate Minimum Qualifications for Personnel Performing Tissue Gross Examinations SOP and 1988 CLIA CFR 493.1489. 1 year of histology and/or grossing experience Preferred Work Experience: N/A Physical and Mental Requirements: The normal performance of duties may require lifting and carrying objects: Objects 1 to 10 pounds are lifted and carried frequently; objects 11 to 25 pounds are lifted and carried occasionally; objects 36 to 50 pounds are seldom lifted or carried and objects over 50 pounds are not to be lifted or carried without assistance. Ability to stand and work at the bench for long periods of time. Frequent walking and/orstanding. May be required to use a wide variety of manual tools and laboratory instruments and apparatuses all of whichdemand significant manualdexterity Knowledge: N/A Skills: N/A EDUCATION Associates Degree Bachelor's Degree LICENSECERTIFICATIONS Current state licensure, if applicable(Required) While we appreciate and value our staffing partners, we do not accept unsolicited resumes from agencies. Quest will not be responsible for paying agency fees for any individual as to whom an agency has sent an unsolicited resume. 2024-54799 Newtown Square, PA, US, 19073Posted a day ago Recruiter Associate. The Judge Group The Judge Group, established in 1970, is an international professional services firm headquartered in the Greater Philadelphia area. Judge is a global leader in the areas of technology consulting, staffing solutions, corporate training, and human capital management. Our solutions are delivered through an annual workforce of 9,000 professionals and a network 30+ office locations across the United States, Canada, and India. Judge is committed to the success of our clients, consultants, and employees, and by joining our team you will part of an established, growing, and innovative culture who makes developing employee's top priority. Wayne, PA, US, 19087Posted a day ago Registration Scheduling Specialist, Per Diem. Main Line Health Make an Impact! Be the first contact for our patients! As a Registration and Scheduling Specialist, you will be the initial point of contact for patients entering Main Line Health System and ensure that exceptional customer service is met. You will be responsible for the data entry and the verification of all patient demographic and financial information ensuring it is correct and current for each visit, as well as scheduling appointments. You will have the opportunity to work in multiple registration areas including decentralized areas as well as Inpatient, Outpatient Registration, Central Scheduling, ED Registration and Reception. Join the team and make a difference to our patient visits! Newtown Square, PA, US, 19073Posted a day ago Home Care PFS Billing Rep. Equiliem Schedule Notes: 40 hour work week
Equiliem Healthcare specializes in staffing clinical, non-clinical, and allied personnel. We excel in all levels, disciplines, and specialties within the healthcare spectrum. Our projects range from short to long term local and travel assignments. Equiliem has been recognized as a certified small business enterprise. In addition, we are proud that we have earned the prestigious Joint Commission accreditation for staffing firms and have been awarded Best in Staffing 4 years running by our employees and client partners. King of Prussia, PA, US, 19406Posted a day ago Home Care PFS Accts Rec Rep. Equiliem Schedule Notes: We are looking for someone with extensive Billing experience and possibly a CPC certification. 3 days remote/ 2 week in office Tuesday and Wednesday, Daytime - 8:30-5pm EST
Equiliem Healthcare specializes in staffing clinical, non-clinical, and allied personnel. We excel in all levels, disciplines, and specialties within the healthcare spectrum. Our projects range from short to long term local and travel assignments. Equiliem has been recognized as a certified small business enterprise. In addition, we are proud that we have earned the prestigious Joint Commission accreditation for staffing firms and have been awarded Best in Staffing 4 years running by our employees and client partners. King of Prussia, PA, US, 19406Posted a day ago Retrospective Query Writer. Accuity The Query Writer is responsible for facilitating and distributing compliant queries to appropriate providers to obtain optimal quality documentation ensuring proper translation of the medical record and capture the true clinical picture of each patient. Philadelphia, PA, US, 19117Posted a day ago Case Manager- Family Development- Luzerne. Employment Opportunity & Training Center of NE PA Bachelor's degree (BA/BS) in elementary education, neuroscience, early childhood education, social work or similar from a four-year college or university. Familiarity with at-risk populations and openness to working with diverse cultures/families with economic challenges, addiction, child welfare involvement, intellectual disabilities, and mental health issues, is a must. Ability to teach relevant programming using the required evidence-based curriculum to participants as assigned. Good understanding of family dynamics, child development, and psychology. Home visiting model training/certification is provided and required. Ongoing professional development is required: i.e.: mandated reporter training, IPV, depression, D&A, OUD/SUD, autism/other related family needs. Wilkes-Barre, PA, US, 18701Posted a day ago Case Aide- Supervised Visitation. Employment Opportunity & Training Center of NE PA Outreach's mission statement states, " With respect for the individual and with the highest professional standards, Outreach – Center for Community Resources offers a variety of programs that promote family stability and economic self-sufficiency.". We strive to embody this mission in our employment as well. At Outreach, you will find an environment where you are family, and family comes first. Scranton, PA, US, 18503Posted a day ago Description
Job Type
Full-time
Description
The Inpatient Coder II is the second level coding position in a 3-tier career ladder. Inpatient Coder IIs will evaluate inpatient medical records and accurately assign the appropriate ICD-10 CM/PCS codes, Present on Admission (POA) indicators, and relevant DRGs. The Coder II must be skillful in the identification and assignment of all diagnoses and procedures in accordance with nationally recognized coding guidelines, as well as researching opportunities to improve documentation.
PRIMARY JOB RESPONSIBILITIES:
Assigns appropriately sequenced and compliant ICD-10 CM/PCS codes as documented in the electronic medical record (EMR). Applies definition of principal diagnosis for proper assignment of MS-DRGs, APR-DRGs, and POA indicators using a designated encoder/grouper, while ensuring compliance with nationally established coding guidelines. Utilizes selected encoder and/or computer-assisted coding software (CAC) set forth by client and Accuity. Abstracts pertinent data from documentation in accordance with client, state, and federal reporting requirements. Identifies instances in which provider clarification is necessary to ensure quality, completeness of documentation, and optimal, compliant reimbursement and communicates to appropriate channels. Updates and/or recommends coding changes as necessary due to additions or revisions in physician documentation and Internal Controls and Quality. Maintains required standards of performance in both coding accuracy and productivity to meet client turnaround and satisfaction. Records accurate production logs, time keeping, and other relevant tracking information daily. Performs additional job-related duties as assigned from coding management within pre-determined schedule. Stays current with most recent coding changes and guidance from CMS, AHA Coding Clinics, AHIMA, Official Inpatient Coding Guidelines, as well as internal education from Physicians, CDI and Coding leadership. Completes required Continuing Education hours to maintain credential requirements. Participate in Coding department meetings and other events as assigned. Maintains a collegial working relationship with other departments. Accepts coaching, training, and education on a routine basis as needed.
Requirements
POSITION QUALIFICATIONS:
Education:
Minimum HS Diploma or GED required Coding credential required from AHIMA (RHIA, RHIT, CCS) or AAPC (CPC, CIC) Associate's or bachelor's degree in HIM or coding preferred Experience:
Minimum 5 years of current Inpatient facility coding experience; minimum 2 years Level 2 trauma center and/or 2 years academic teaching medical center Extensive knowledge of ICD-10 guidelines and coding regulations Demonstrated knowledge in DRG methodologies and compliant reimbursement practices Knowledge, Skills, and Abilities:
Proficiency in utilizing a variety of EMR systems, EPIC experience preferred Independently research coding questions and utilize Accuity's internal educational resources Ability to use a PC in a Windows environment, including MS Word, MS Excel, MS Teams Autonomous, focused individual able to work remotely or on-site in a rapidly growing organization View more..