Coder In-patient Level III

Coder In-patient Level III Job Description Position Summary The role of the Coder Inpatient Level III is to interact extensively with the physician and other members of the healthcare team to facilitate improvement in the overall quality, completeness, and accuracy of medical record documentation. This will support the appropriate clinical picture and level of severity of the patient while providing accurate and complete information that is utilized in the medical record and core measure abstraction and coding process to obtain appropriate reimbursement. This position will also be responsible for coordinating and providing education to all physicians and other clinicians related to compliant documentation responsibilities and coding and abstraction issues. This position will identify opportunities for documentation improvement to ensure accuracy and completeness of documentation used for measuring and reporting physician and hospital outcomes (e.g. patient safety indicators (PSI) and hospital acquired conditions (HAC)). The Coder Inpatient Level III will collaborate as necessary with other disciplines to communicate these opportunities for referral to the appropriate performance improvement committee for resolution. This position will primarily review inpatient medical records using nationally recognized guidelines to assure accurate and complete documentation of diagnoses and procedures and DRG assignment. The Coder Inpatient Level III will demonstrate understanding of complications, co‑morbidities, severity of illness, risk of mortality, case mix index, MS‑DRG, APR‑DRG, secondary diagnosis, and risk‑adjustment methodologies, and impact of procedures on the final DRG. Qualifications Education: High School diploma required. Associate of Science Degree in Health Information Technology preferred. RHIA preferred. Successful completion of a college‑based coding program or college‑based coding certificate program preferred (AHIMA‑approved preferred). License/Certification: Certified Coding Specialist (CCS) required. Knowledge of Core Measures, HAC, and AHRQ PSI/Harm Measures preferred. Experience: Minimum 5 years inpatient acute care coding (recent hands‑on production) experience required. Proficiency in Clinical and Business Applications preferred at time of hire; incumbents within position will be trained appropriately and then skill will be required for this position within 30‑60 days from date of hire. Performance Expectations Demonstrates the technical competencies as established on the Assessment and Evaluation Tool. Work Environment This active position requires the ability to work in a busy patient care area. Near visual acuity, long periods of visually examining documents and electronic files, and skilled use of multiple computer applications required. The Health Data Integrity Specialist works independently and autonomously with minimal supervision. Critical thinking and strong customer services skills required and manage daily work duties accurately and efficiently. Job Details Job Identification: 07-39492 Job Category: Billing / Insurance Job Shift: Day Pay Range: $40 - $45 per hour Holidays Required: No Weekends Required: No Hours Per Week: 37.5 Total Rewards at AtlantiCare Generous Paid Time Off (PTO) Medical, Prescription Drug, Dental & Vision Insurance Retirement Plans with employer contributions Short‑Term & Long‑Term Disability Coverage Life & Accidental Death & Dismemberment Insurance Tuition Reimbursement to support your educational goals Flexible Spending Accounts (FSAs) for healthcare and dependent care Wellness Programs to help you thrive Voluntary Benefits, including Pet Insurance and more Benefits offerings may vary based on position and are subject to eligibility requirements. Join a team that values your well‑being and invests in your future. Pay Transparency In order to support the Fair Compensation Strategy by the US Gov., HR Dept., clients are required to adhere to "Pay Transparency Law" in impacted states, which mandate employers to list salary ranges in job advertisements and promotions. Equal Employment Opportunity Equal employment opportunity, including veterans and individuals with disabilities. AtlantiCare is an Equal Opportunity Employer. PI285239476 #J-18808-Ljbffr