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Coder II (Inpatient) - Days - Remote

Texas Health Resources • Remote • Posted 30+ days ago

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Remote • Full-time • Mid Level

Job Highlights

Using AI ⚡ to summarize the original job post

Texas Health Resources is seeking a Coder II for remote, flexible work focused on inpatient coding. This role involves reviewing and interpreting health record documentation to accurately identify and code diagnoses and procedures for billing purposes. The position offers a 100% remote work setting with flexible hours, aiming for a terrific work/life balance. Certifications and education requirements include a high school diploma or equivalent, completion of ICD-10 CM/PCS training, and coding credentials upon hire.

Responsibilities

  • Reviews and interprets health record documentation to accurately identify pertinent primary and secondary diagnosis and procedures that require code and DRG assignment for properly billing inpatient records.
  • Presents on Admission indicators and calculates the correct MS-DRG, Severity of Illness and Risk of Mortality levels per official coding guidelines, THR coding compliance policies and procedures, CMS and other third party payers to ensure accurate reimbursement.
  • Assesses high risk quality cases to accurately trigger pre-bill coding review process.
  • Abstracts and complies clinical data elements such as attending physician, surgeon, consultants, ED physician, birth weight, etc. according to THR guidelines.
  • Validates and initiates correction on patient status, admit and discharge dates and discharge disposition for calculation of correct DRG and length of stay for correct reimbursement.
  • Queries physician when documentation in the record is ambiguous, inadequate, unclear or incorrect for coding and compliance purposes.
  • Collaborates with Clinical Documentation Specialist to improve coding and documentation.
  • Demonstrates and maintains adequate productivity and coding quality metrics as outlined in job description.
  • Demonstrates and maintains coding proficiency by staying abreast of coding guidelines as published in Coding Clinic.
  • Demonstrates timely completion of all THR training and education as well as maintains credentials by completing assigned continuing education credits per THR Coding Compliance requirements.

Qualifications

Required

  • High School Diploma or Equivalent
  • Completion or training in ICD-10 CM/PCS (provide documentation upon interview), Competency of 95 accuracy required.
  • Associate's Degree in Health information related preferred.
  • 2 years of inpatient coding in an acute hospital setting required.
  • AHIMA or AAPC coding credentials (CCS, CCS-P, CCA, CPC) upon hire required.
  • RHIT - Registered Health Information Technician upon hire preferred or RHIA - Registered Health Information Administrator upon hire preferred.

About Texas Health Resources

Texas Health Resources is a leading nonprofit health system in North Texas with 24 hospitals and over 350 care sites. They offer a wide range of healthcare services, including acute care, specialty care, women's and children's services, cardiovascular medicine, and more. Known for high-quality care, Texas Health Resources collaborates with academic institutions and international organizations to advance medical education and support health initiatives globally.

Full Job Description

**Coder II (Inpatient)**

_Are you looking for a rewarding career with a top-notch healthcare company? We are looking for qualified_ **Coders** _like you to join our Texas Health Family_

**Work location:** Remote

**Work hours:** Flexible hours

**HIMS Coding Department Highlights:**

· 100% remote work

· Flexible hours/scheduling

· Terrific work/life balance

**Here's What You Need**

**Education & Certifications**

· High School Diploma or Equivalent is required And,

· Completion or training in ICD-10 CM/PCS (provide documentation upon interview), Competency of 95 accuracy required.

· Associate's Degree in Health information related preferred.

· 2 years of inpatient coding in an acute hospital setting required.

· Other - AHIMA or AAPC coding credentials (CCS, CCS-P, CCA, CPC) upon hire required.

· RHIT - Registered Health Information Technician upon hire preferred or

· RHIA - Registered Health Information Administrator upon hire preferred.

**Skills**

· Analytical and interpretation skills when applying coding guidelines and principles for correct code assignment and proper sequencing of diagnoses and procedures.

· Ability to apply definition of principal diagnosis for accurate coding, MS-DRG and POA assignment.

· Strong knowledge of ICD-10-CM/PCS diagnosis and procedure coding guideline, DRG and POA assignment.

· Moderate skills including MS Office Suite, encoder software and computer-assisted-coding software.

· Demonstrated appropriate utilization of coding software and coding reference material to facilitate achieving accurate coded data.

· Effective oral and written communication skills with the ability to generate clear documentation quires to physicians.

**What You Will Do**

· Reviews and interprets health record documentation to accurately identify pertinent primary and secondary diagnosis and procedures that require code and DRG assignment for properly billing inpatient records.

· Presents on Admission indicators and calculates the correct MS-DRG, Severity of Illness and Risk of Mortality levels per official coding guidelines, THR coding compliance policies and procedures, CMS and other third party payers to ensure accurate reimbursement.

· Assesses high risk quality cases to accurately trigger pre-bill coding review process.

· Abstracts and complies clinical data elements such as attending physician, surgeon, consultants, ED physician, birth weight, etc. according to THR guidelines.

· Validates and initiates correction on patient status, admit and discharge dates and discharge disposition for calculation of correct DRG and length of stay for correct reimbursement.

· Queries physician when documentation in the record is ambiguous, inadequate, unclear or incorrect for coding and compliance purposes.

· Collaborates with Clinical Documentation Specialist to improve coding and documentation.

· Demonstrates and maintains adequate productivity and coding quality metrics as outlined in job description.

· Demonstrates and maintains coding proficiency by staying abreast of coding guidelines as published in Coding Clinic.

· Demonstrates timely completion of all THR training and education as well as maintains credentials by completing assigned continuing education credits per THR Coding Compliance requirements.

**Additional perks of being a Texas Heath Coder**

· Benefits include 401k, PTO, medical, dental, Paid Parental Leave, flex spending, tuition reimbursement, Student Loan Repayment Program as well as several other benefits.

· A supportive, team environment with outstanding opportunities for growth.

Explore our Texas Health careers site (https://jobs.texashealth.org/) for info like Benefits (https://jobs.texashealth.org/benefits) , Job Listings by Category (https://jobs.texashealth.org/professions) , recent Awards (https://jobs.texashealth.org/awards) we've won and more.

**_Do you still have questions or concerns?_** Feel free to email your questions to recruitment@texashealth.org .

Texas Health requires a resume when an application is submitted.Employment opportunities are only reflective of wholly owned Texas Health Resources entities.

We are an Equal Opportunity Employer and do not discriminate against any employees or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.