Inpatient Coder/Abstractor – Medical Records (RHIT, RHIA, or CCS required)Sign-On Available- Remote work availability
- Maintains a professional image and exhibits excellent customer relations to patients, visitors, physicians, and co-workers in accordance with our Service Excellence Standards and Core Values.
- Maintains credentials as RHIA, RHIT or CCS with AHIMA is required.
- Keeps abreast of all new coding developments by attending any coding classes, reading articles on coding updates, and attending seminars when available.
- Possess inpatient coding knowledge and experience necessary to accurately assign codes to determine correct principal diagnosis, identify and assign co-morbidities and complications, secondary diagnoses, present on admission indicator, discharge disposition, Hospital Acquired conditions, principal procedure and secondary procedures on all discharged inpatient records to arrive at the most appropriate DRG assignment.
- Abstracts required information from record and enters into abstract system.
- Queries physicians appropriately when documentation is not clear in the medical record.
- Must work closely with the Clinical Documentation Specialists to assure the most optimal DRG is assigned.
- Codes all non-Medicare Discharges, all discharged medical records with LOS stay less than or equal to 3 days, and all accounts less than $50,000 including Obstetrics and Newborns (generally less complex accounts and those at smaller facilities)
- Maintains department specific productivity standards with a 95% accuracy rate.
- Respects patient confidentiality at all times.
- Performs other backup duties as assigned.
- 1 to 2 years of Hospital inpatient coding in Medical Records
- Minimum of a High School Diploma/GED from an accredited school
- RHIT, RHIA, or CCS
Florence, SC, United States