Review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-9-CM, and/ or ICD-10- CM/PCS for billing, internal and external reporting, research, and regulatory compliance while maintaining an accuracy rate at or above 96%. Under the direction of the Inpatient Coding Lead, Director of Coding, and the System Director of Health Information Management (HIM), Inpatient Coders will accurately code inpatient conditions and procedures as documented in the ICD-9-CM and/ or ICD-10 CM/ PCS Official Guidelines for Coding and Reporting.
Inpatient Coders will resolve error reports associated with billing process, identify and report error patterns, and, when necessary, assist in design and implementation of workflow changes to reduce billing errors. Work collaboratively with HIM Staff, Clinical Documentation Specialists to ensure the most accurate and complete documentation to support accurate coding/billing.
* Assigns codes for diagnoses, treatments, and procedures according to the appropriate classification system for inpatient encounters. * Maintains an accuracy rate at or above 95%. * Reviews appropriate provider documentation to determine principal diagnosis, co-morbidities and complications, secondary conditions and surgical procedures. * Extracts required information from source documentation and enters into encoder and abstracting system. * Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to official coding guidelines. * Extracts required information from source documentation and enters into encoder and abstracting system. * Reviews daily system-generated error reports to correct or complete missing data elements. * Assists in implementing solutions to reduce back-end billing errors. Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to official coding guidelines.
For Inpatient Coders * Utilizes technical coding principals and MS-DRG reimbursement expertise to assign appropriate ICD-9-CM and/ or ICD-10 CM/ PCS diagnoses and procedures. * Assigns present on admission (POA) value for inpatient diagnoses. * Identifies non-payment conditions (HAC) and when required, report through established procedures. * Reviews documentation to verify and, when necessary, correct the patient disposition upon discharge
High School Diploma or GED
Preferred completion of Accredited Associate HIM Program, Accredited Baccalaureate or Master's Health Information Management or other allied health degree or an AHIMA approved Coding Certificate Program or successful Completion of Coder Certificate Program
Successful score of 90% on "Christus Inpatient Coding Qualifying Test"
Must be a resident or willing to relocate in the states of TX, LA, AR, NM, GA, OK or IA
Two (2) years' progressive on-the-job experience coding with ICD-9-CMand/or ICD-10-CM and CPT-4 coding in a hospital or outpatient setting
LICENSES AND CERTIFICATIONS:
At least one of the following preferred certifications are required:
CHRISTUS HEALTH is an international Catholic, faith-based, not-for-profit health system comprised of almost more than 600 services and facilities, including more than 60 hospitals and long-term care facilities, 350 clinics and outpatient centers, and dozens of other health ministries and ventures. CHRISTUS operates in 6 U.S. states, Colombia, Chile and 6 states in Mexico. To support our health care ministry, CHRISTUS Health employs approximately 45,000 Associates and has more than 15,000 physicians on medical staffs who provide care and support for patients. CHRISTUS Health is listed among the top ten largest Catholic health systems in the United States.