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Inpatient Coder provides inpatient coding utilizing ICD-10-CM and ICD-10 PCS Coding Classification systems. Utilizes an encoder and computer assisted coding software to achieve accuracy and thorough coding. Researches complex coding scenarios and queries physicians on documentation for clarification.
This is inpatient coding position for an experienced, trained inpatient coder. An Inpatient Coder analyzes clinical documentation; assign appropriate diagnosis, procedure, and, in some cases, abstract the codes and other clinical data. This information is then used to determine reimbursement levels, assess quality of care, study patterns of illness and injuries, compare healthcare data between facilities and between physicians, and meet regulatory and payer reporting requirements. Assist in the resolution of clinical documentation and provide feedback to providers on the quality of their documentation.
Code and abstract clinical and demographic data for inpatient admissions using standardized coding regulations, abstracting rules, and Fairview guidelines.
Identify and resolve clinical documentation and charge capture data discrepancies to improve quality of the clinical documentation, severity and reimbursement levels assigned, integrity of data reported.
Assigns present on admission (POA) value for inpatient diagnoses and identifies non-payment conditions (HAC) and ensures correct reporting.
Query providers for additional documentation according to established procedures and guidelines.
Assist in education of multidisciplinary team members, including physicians, as it pertains to frequently changing mandated rules, regulations and guidelines.
Evaluate, problem-solve issues and/or discrepancies, and recognize when additional information or documentation is required to accurately code records
Maintains knowledge of, and complies with, all relevant laws, regulations, policies, procedures and standards.
Actively participates in creating and implementing improvements.
Performs other responsibilities as needed/assigned.
Organization Expectations, as applicable:
Demonstrates ability to provide care or service adjusting approaches to reflect developmental level and cultural differences of population served
Partners with patient care giver in care/decision making.
Communicates in a respective manner.
Ensures a safe, secure environment.
Individualizes plan of care to meet patient needs.
Modifies clinical interventions based on population served.
Provides patient education based on as assessment of learning needs of patient/care giver.
Fulfills all organizational requirements
Completes all required learning relevant to the role
Complies with and maintains knowledge of all relevant laws, regulation, policies, procedures and standards.
Fosters a culture of improvement, efficiency and innovative thinking.
Performs other duties as assigned
Certificate program in coding or Associate degree in HIM
One year of inpatient coding experience
One of the following: Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA)
Registered Health Information Administrator (RHIA 4 year degree) or Registered Health Information Technician
(RHIT 2 year degree) plus additional coding credential
Two or more years of inpatient coding experience
Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA)
Together with the University of Minnesota and University of Minnesota Physicians we have created M Health Fairview. M Health Fairview is the newly expanded collaboration among the University of Minnesota, University of Minnesota Physicians, and Fairview Health Services. The healthcare system combines the best of academic and community medicine — expanding access to world-class, breakthrough care through our 10 hospitals and 60 clinics.
Fairview Health Services (fairview.org) is an award-winning, nonprofit health system providing exceptional care across the full spectrum of health care services. Fairview is one of the most comprehensive and geographically accessible systems in the state, with 10 hospitals—including an academic medical center and long-term care hospital—serving the greater Twin Cities metro area.
Its broad continuum also includes 60 primary care clinics, specialty clinics, senior living communities, retail and specialty pharmacies, pharmacy benefit management services, rehabilitation centers, counseling and home health care services, medical transportation, an integrated provider netwo...rk and health insurer PreferredOne. In partnership with the University of Minnesota, Fairview’s 32,000 employees and 2,400 affiliated providers embrace innovation to drive a healthier future through healing, discovery and education.