Pre-Bill Coder Specialist – Inpatient

Role Overview

• Prioritizes and codes and abstracts high dollar charts, day after discharge, as well as interim charts, at regular intervals, with a high degree of accuracy.
• Reviews complex medical documentation at a highly skilled and proficient level from clinicians, qualified health professionals and hospitals to assign diagnosis and procedure codes utilizing ICD CM/PCS, CPT, and HCPCS.
• Assigns and ensures correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations utilizing an EMR and/or Computer Assisted Coding software.
• Collaborates with other departments to clarify pre-bill coding documentation issues such for inpatient and outpatient to insure reimbursement and clinical outcomes.
• Works claim edits for all patient types and may codes consecutive/combined accounts to comply with the 72-hour rule and other account combine scenarios.
• Completes informal peer-review on inpatient and outpatient coders.
• Tracks and trends quality information from internal and external sources to partner with the educational team on opportunities.
• Communicates with Medical Staff, CDI, Post -bill for documentation clarification.

Requirements

• Two Year associate degree or equivalent work experience
• Five to Seven years of inpatient coding experience in an acute care inpatient setting in an Academic Inpatient Care Tertiary Facility
• Advanced proficiency of ICD, CPT and HCPCS coding guidelines
• Advanced knowledge of medical terminology, anatomy and physiology
• Excellent computer skills including the use of Microsoft office products, electronic mail, including exposure or experience with electronic coding systems or applications
• Must have a certification through American Health Information Management Association (AHIMA) or American Academy of professional Coders (AAPC)

Benefits

• Health and welfare benefits such as medical, dental, vision, life, and Short
• and Long-Term Disability
• Paid Time Off programs
• Flexible Spending Accounts for eligible health care and dependent care expenses
• Family benefits such as adoption assistance and paid parental leave
• Defined contribution retirement plans with employer match and other financial wellness programs
• Educational Assistance Program