IP Coder - Acute - CABG
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CPSI
US
Summary
The Coding Advocate is responsible for performing medical coding and data abstraction for various hospital visit types including inpatient, outpatient, and emergency services. They must ensure accurate code assignment, review claims for medical necessity, and maintain compliance with regulatory standards.
Job Description
The Coding Advocate will handle medical coding and data entry / abstraction for Hospital (Acute) In-patient visits. Specifically, will code CABG (cardio), Ortho, and Med cases. Additionally, this individual will use the 3M 360 Encoder HDM to streamline the coding/billing process.
These Goals and objectives are not to be construed as a complete statement of all duties performed; employees will be required to perform other job related duties as required. Goals and objectives are subject to change.
All activities must be in compliance with Equal Employment Opportunity laws, HIPAA, ERISA and other regulations, as appropriate.
Essential Functions: In addition to working as prescribed in our Performance Factors specific responsibilities of this role include:
- Inpatient: Accurately assigns ICD-10-CM and PCS primary and secondary diagnoses and procedure codes based on the documentation in the record and in accordance with the site specific guidelines and policies. Accurate assignment of the DRG.
- Ability to create compliant physician queries.
- Accurately review claims for medical necessity.
- Update problem lists consistent with client contract.
- Correctly assign present on admission indicators.
- Ability to provide excellent customer service to our clients and teammates.
- Consistently demonstrates an excellent attitude, and works to strengthen the team as a whole.
- Floats between multiple sites, and coding specialties with ease and flexibility.
Minimum Requirements:
Education/Experience/Certification Requirements
- 2 year degree or equivalent experience; AHIMA or AAPC certification REQUIRED.
- Actively holds one or more of the following credentials: RHIA, RHIT, CCS, CPC, COC
- Experience coding CABG, Ortho, and Med cases REQUIRED.
- Experience working with 3M 360 Encoder HDM REQUIRED.
- Meets or exceeds Quality and Productivity standards.
- Excellent communication (written and oral) and interpersonal skills.
- Strong organizational, multi-tasking, and time-management skills.
- Must be detail oriented and able to follow through on issues to resolution.
- Must be able to act both independently, and as a team member.
- Excellent communication (written and oral) and interpersonal skills.
- Strong organizational, multi-tasking, and time-management skills.
- Must be detail oriented and able to follow through on issues to resolution.
- Must be able to act both independently and as a team member.
Business Support
CPSI is a leading provider of healthcare solutions and services for community hospitals, their clinics and post-acute care facilities. Founded in 1979, CPSI is the parent of four companies – Evident, LLC, American HealthTech, Inc., TruBridge, LLC, TruCode, LLC, and iNetXperts, Corp. d/b/a Get Real Health. Our combined companies are focused on helping improve the health of the communities we serve, connecting communities for a better patient care experience, and improving the financial operations of our customers. Evident provides comprehensive EHR solutions for community hospitals and their affiliated clinics. American HealthTech is one of the nation’s largest providers of EHR solutions and services for post-acute care facilities. TruBridge focuses on providing business, consulting and managed IT services, along with its complete RCM solution, for all care settings. Get Real Health focuses on solutions aimed at improving patient engagement for individuals and healthcare providers. TruCode provides medical coding software that enables complete and accurate code assignment for optimal reimbursement. For more information, visit www.cpsi.com.
Founded
1979
Company size
1,001-5,000 employees
Industry
IT Services and IT Consulting
Org type
Public Company
Headquarters
Mobile, AL
CPSI is a leading provider of healthcare solutions and services for community hospitals, their clinics and post-acute care facilities. Founded in 1979, CPSI is the parent of four companies – Evident, LLC, American HealthTech, Inc., TruBridge, LLC, TruCode, LLC, and iNetXperts, Corp. d/b/a Get Real Health. Our combined companies are focused on helping improve the health of the communities we serve, connecting communities for a better patient care experience, and improving the financial operations of our customers. Evident provides comprehensive EHR solutions for community hospitals and their affiliated clinics. American HealthTech is one of the nation’s largest providers of EHR solutions and services for post-acute care facilities. TruBridge focuses on providing business, consulting and managed IT services, along with its complete RCM solution, for all care settings. Get Real Health focuses on solutions aimed at improving patient engagement for individuals and healthcare providers. TruCode provides medical coding software that enables complete and accurate code assignment for optimal reimbursement. For more information, visit www.cpsi.com.
Founded
1979
Company size
1,001-5,000 employees
Industry
IT Services and IT Consulting
Org type
Public Company
Headquarters
Mobile, AL