Inpatient Coder III

<div><strong>Must Reside in AL, AZ, CO, CT, DE, FL, GA, IL, IN, KS, MA, MD, ME, MI, MS, NC, NH, NJ, NY, OH, PA, SC, TN, TX, VA</strong></div><div><br>At Nuvance Health, we enjoy the benefits of a two-state system as we cultivate an inclusive culture where everyone feels welcomed, respected and supported. Together, we are a team of 15,000+ strong hearts and open minds. If you share our values of connected, personal, agile and imaginative, we invite you to discover what’s possible for you and your career.</div><p><span style="text-decoration: underline;"><strong>Summary:</strong></span></p><p>Appropriately analyzes and codes complex inpatient records. Position requires high-level expertise in coding and documentation guidelines, coding clinics and knowledge of MS DRGs, CC/MCC for appropriate reimbursement and compliance. Acts as a recognized subject-matter expert, leading DRG validation, revenue integrity analyses, and strategic coding compliance projects across the department.</p><p><span style="text-decoration: underline;"><strong>Responsibilities:</strong></span></p><ol><li>Performs ICD-10-CM diagnostic and ICD-10 PCS procedural coding to maintain an accurate database & ensure accurate coding at minimum accuracy rate of 95%.</li><li>Competent in the utilization of an electronic medical record, and computerized coding/abstracting systems.</li><li>Applies knowledge of diagnosis related group assignment, official Coding guidelines, comorbidity/complication coding, Hospital acquired conditions, accurate present on admission assignment, and current American Hospital Association coding clinic guidance.</li><li>Effectively and professionally communicates with providers and/or CDI staff when necessary to clarify documentation in order to assign accurate diagnoses and procedures in order to calculate the appropriate diagnosis related group and severity of illness/risk of mortality. </li><li>Ability to code using either 3M encoder or ICD-10-CM/ICD10 PCS codebook.</li><li>Mentors and trains junior coders.</li><li>Performs audits as assigned by the coding manager.</li><li>Demonstrates advanced knowledge of the impact of coding decisions on revenue cycle, including the ability to assist in appealing payer denials.</li><li>Responds to all business office questions regarding diagnoses and procedures in a timely manner.</li><li>May assist as needed in other coding areas.</li><li>Attends and participates in required hospital education programs in order to maintain and enhance their coding skills and stay abreast of changes in codes, coding guidelines and regulations. </li><li>Maintains certified coding credentials in accordance with the certified coding requirements and demonstrates annual compliance.</li><li>Fulfills all compliance responsibilities related to the position.</li><li>Maintain and models the organizations values</li><li>Demonstrates regular, reliable and predictable attendance</li><li>Performs other duties as assigned.</li></ol><div> </div><div><span style="text-decoration: underline;"><strong>Requirements:</strong></span></div><div>Essential/Required:  Certified Coding Specialist (AHIMA), or Certified Inpatient Coder (AAPC)</div><div>Required: Specialized training in medical terminology, ICD-10-CM/ICD-10 PCS coding. Ability to decipher operative reports, medication orders & various medical records in the appropriate selection of codes. Experience in acute care coding inpatient records.</div><div>Minimum Experience: Five years demonstrated coding experience in appropriate application of coding and documentation guidelines Desired: Course work in Anatomy and Physiology and knowledge of CPT codes. Education Derived Education Essential: * HS Graduate or Equivalent</div><div> </div><div>Company: Western CT Health Network Inc</div><div>Org Unit: 265</div><div>Department: Coders</div><div>Exempt: No</div><div>Salary Range: $32.23 - $59.86 Hourly DOE</div><div> </div><p> </p><p>Working Conditions:</p><p>Manual: Little or no manual skills/motor coord & finger dexterity</p><p>Occupational: Little or no potential for occupational risk</p><p>Physical Effort: Sedentary/light effort. May exert up to 10 lbs. force</p><p>Physical Environment: Generally pleasant working conditions</p><p>Company: Nuvance Health</p><p>Org Unit: 2070</p><p>Department: Coders</p><p>Exempt: No</p><p>Salary Range: $33.21 - $61.68 Hourly</p>