What You Will Do:

The Remote Inpatient Coder will review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10 and PCS Diagnosis codes, along with CPT/HCPCS codes as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance. Under the direction of the coding manager—the coder should accurately code conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting, CMS and any other official coding guidelines established for use with mandated standard code sets.  

• Maintains a working knowledge of ICD-9-10 PCS and CPT coding principles, governmental regulations, official coding guidelines, and third-party requirements regarding documentation and billing.

• Assures that all services documented in the patient’s chart are coded with appropriate ICD-10/PCS codes. When services/diagnoses are not documented appropriately, seeks to attain proper documentation in a timely manner according to facility standards.

• Achieves and maintains 95% accuracy in coding while maintaining a high level of productivity.
  Maintains average productivity standards as follows: 2 IP charts per hour (These productivity standards are Guidehouse general expectations and are subject to change based upon Guidehouse client agreements and/or other factors as determined by management. Notification of expected productivity will be conveyed by Management prior to assignment of a client project).

What You Will Need:

• High School Diploma

• Minimum 5 years+ previous work experience coding hospital acute care Inpatient records.

• CCS, RHIT or RHIA Certification from AHIMA required.

• Must have experience working in systems such as EPIC, Cerner, Optum and/or 3M

• Must have working knowledge of anatomy and physiology as well as medical terminology.

• Must have advanced knowledge of coding clinics ICD-10-CM and PCS

What Would Be Nice To Have:

• Previous experience working with CDI and physician queries.

• Has ability to analyze provider documentation and assign codes accurately.

• Strong knowledge and application of government and other payer guidelines as they relate to compliant coding.

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