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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 Des Moines, IA, US, 50319Posted 2 days ago RN-Behavioral Health Administration. UnityPoint Health Responsible for the assessment, planning, implementation and evaluation of patient care on the behavioral health units. Responsible for the delivery of patient care through a multidisciplinary approach. Patient treatment planning is through a multidisciplinary approach consisting of patient staffings and special care conferences. The patients served are patients of all ages in need of the secure setting of a locked behavioral health unit. St. Luke's C.A.R.E. delivery model (Continuity, Accountability, Relationship-based, Evidence-based) reflects a commitment to compassionate, competent care delivered by the interdisciplinary team. Care is provided through a therapeutic relationship with the patient and family. A spirit of inquiry is encouraged and supported. Small tests of change and more formal research efforts are used when the evidence is not clear. Evidence-driven protocols are utilized to assure reliable and consistent care. Cedar Rapids, IA, US, 52402Posted 2 days ago RN - 4 Surgical. UnityPoint Health UnityPoint Health is embarking on an exciting and innovative care delivery model. Our new Collaborative Care Model (CCM) enables all members of the multidisciplinary care team to practice at the top of their scope - leveraging your unique skills, training, and an RN in this care model, there is a built-in clinical ladder to support your career goals. This includes the potential for leadership and growth by working in different roles within the model by being an Attending or Lead Nurse. Waterloo, IA, US, 50703Posted 2 days ago RN-Child/Adolescent Center. UnityPoint Health Responsible for the assessment, planning, implementation and evaluation of patient care on the behavioral health units. Responsible for the delivery of patient care through a multidisciplinary approach. Patient treatment planning is through a multidisciplinary approach consisting of patient staffings and special care conferences. The patients served are patients of all ages in need of the secure setting of a locked behavioral health unit. St. Luke's C.A.R.E. delivery model (Continuity, Accountability, Relationship-based, Evidence-based) reflects a commitment to compassionate, competent care delivered by the interdisciplinary team. Care is provided through a therapeutic relationship with the patient and family. A spirit of inquiry is encouraged and supported. Small tests of change and more formal research efforts are used when the evidence is not clear. Evidence-driven protocols are utilized to assure reliable and consistent care. Cedar Rapids, IA, US, 52402Posted 2 days ago Inpatient Occupational Therapist. UnityPoint Health regulatory agencies guiding healthcare. * Completes all annual education and competency requirements within the calendar year. * Is knowledgeable of hospital and department compliance requirements for federally funded healthcare programs (e.g. Medicare and Medicaid) regarding fraud, waste and abuse. Brings any questions or concerns regarding compliance to the immediate attention of hospital administrative staff. Takes appropriate action on concerns reported by department staff related to compliance. Fort Dodge, IA, US, 50501Posted 2 days ago Speech Language Pathologist - Fort Dodge. UnityPoint Health Speech Language Pathologist UnityPoint Health- Fort Dodge Monday-Friday shifts Full-time benefits, 36 hours per week *$7,500 SIGN-ON BONUS* Why UnityPoint Health? Culture - At UnityPoint Health, you Come for a fulfilling career and experience a culture guided by uncompromising values and unwavering belief in doing what's right for the people we serve. Benefits - Our competitive Total Rewards program offers benefits options like 401K match, paid time off and education assistance that align with your needs and priorities, no matter what life stage you're in. Diversity, Equity and Inclusion Commitment - We're committed to ensuring you have a voice that is heard regardless of role, race, gender, religion, or sexual orientation. Development - We believe equipping you with support and development opportunities is an essential part of delivering a remarkable employment experience. Community Involvement - Be an essential part of our core purpose-to improve the health of the people and communities we serve. Visit us at to hear more from our team members about why UnityPoint Health is a great place to work. Responsibilities Evaluates and treats speech therapy patients under physician orders in the acute, outpatient, home health care or skilled nursing facilities as assigned Develops treatment plans for all patients assigned to case load Maintains appropriate documentation in the patient's medical record Ongoing commitment to reducing costs and improving productivity in the speech therapy department Maintains positive relationships with the health care team, patient and family Communicates effectively in writing and verbally with all appropriate members of the patient's healthcare team Qualifications Education: Master's degree in Speech Language Pathology. Certified Clinical Competency Certification or completing Clinical Fellowship year. Licensure: Speech Pathology licensure in Iowa or eligible for licensure in Iowa, Valid Iowa driver's license Experience: Entry level/new graduate acceptable Certification/Course: Maintain Basic Life Support certification Area of Interest: Therapy; FTE/Hours per pay period: .9; Department: Speech Therapy; Shift: Full-time, 36 hours per week; Job ID: 145838; Fort Dodge, IA, US, 50501Posted 2 days ago Mental Health Worker-General Behavioral (Full Time) UnityPoint Health Responsible for providing assistance in the assessment, planning, implementation and evaluation of patient care on the behavioral health units under the direction of a Registered Nurse (RN) or Nurse Manager and established standards of practice and institutional policies. Responsible for the delivery of patient care through a multidisciplinary approach. Patients to be served include primarily adult, but also pediatric, adolescent and geriatric. The position of Mental Health Worker has been designed to be an active, contributing member of the Adult Behavioral Health Services interdisciplinary treatment team, offering psychiatric treatment and care to. St. Luke's C.A.R.E. delivery model (Continuity, Accountability, Relationship-based, Evidence-based) reflects a commitment to compassionate, competent care delivered by the interdisciplinary team. Care is provided through a therapeutic relationship with the patient and family. A spirit of inquiry is encouraged and supported. Small tests of change and more formal research efforts are used when the evidence is not clear. Evidence-driven protocols are utilized to assure reliable and consistent care. Cedar Rapids, IA, US, 52402Posted 2 days ago School Nurse. UnityPoint Health Successfully functions as a Registered Nurse as defined in Iowa Nursing Regulations and Practice Act. Provides nursing services and care coordination as outlined by the professional service agreement with the Waterloo Community Schools (WCSD). Delivers nursing care for patients and families and maintains a practice environment that reflects the ANA Code for Nurses, Philosophy of Nursing at UnityPoint Health Waterloo within the structure of the Professional Nurse Practice Model and in collaboration with other care givers. Successful performance contributes to a holistic approach to the delivery of services, quality patient/family care, and a high level of satisfaction from patients and families. In conjunction with the Clinical Administrator II, plans, directs, facilitates, and evaluates school nursing services provided. Waterloo, IA, US, 50703Posted 2 days ago RN-Surgical Specialty Unit. UnityPoint Health The RN is responsible for the delivery of safe and reliable patient care, in coordination with the healthcare team. The primary role of the RN is the execution of the nursing process in providing required care and evaluation of the care given. Responsibilities include: assessment, nursing diagnosis related to focus problem areas, planning, implementation and evaluation of nursing care. Performance of these responsibilities requires specialized knowledge, critical thinking and skills based on principles of psychological, social, physical and biological sciences that utilize the nursing process. Cedar Rapids, IA, US, 52402Posted 2 days ago Licensed Mental Health Professional. UnityPoint Health PACT Mental Health Professional will be responsible for developing and implementing services that provide skill training, supportive and/or treatment for individuals in recovery from a serious mental illness. Staff will deliver services primarily in the individual's home or other community settings. This includes involvement in the provision of services following the guidelines for Assertive Community Treatment that are generally funded through Medicaid, the Region, private pay and/or grants. Cedar Rapids, IA, US, 52405Posted 2 days 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..