REMOTE Inpatient Acute Coder

Our client is in need of an Inpatient Rehabilitation Facility Coder. As an IRF Coder you will be responsible for coding and applying ICD-10-CM and PCS codes as applicable to code medical records for a large rehabilitation hospital in Florida according to IRF-PAI Coding Guidelines. Responsibilities will include but not be limited to reviewing data from the medical record to determine or confirm codes, perform analysis of physician documentation, and provide feedback for improvement, collaborate with internal and external resources to obtain additional documentation to support the services provided, documentation and codes billed.

RESPONSIBILITIES

1. Reviews medical record to correctly apply and/or validate ICD-10-CM IRF-PAI codes.

Performance Criteria:
- Maintains coding accuracy of 95% or above for assigned codes.
- Completes the coding and data entry within four days of receipt and follows standard coding protocols for appropriate assignment of diagnoses and procedures.
- Seeks clarification for missing or inadequate information needed for accurate code assignment from appropriate resources.
- Maintains individual production defined by productivity standards with minimal supervision.

2. Supports timely, accurate and complete documentation of clinical information, facilitating modifications to clinical documentation to support services rendered and reimbursement received.

Performance Criteria:
- Examines records timely; reviewing principal and secondary diagnoses and procedures
- Identifies records with opportunities for improved documentation.
- Communicates with designated staff either directly or through queries to facilitate complete and accurate documentation.
- Provides feedback regarding current coding practices and changes in regulations and guidelines to improve the accuracy of final code assignment

3. Maintains knowledge of coding rules and regulations by staying current on issues regarding medical coding, compliance and reimbursement.

Performance Criteria:
- Assists in maintaining accounts receivables at minimal levels as defined by departmental protocol by accurately assessing and correcting issues regarding medical necessity, claims denials, bundling issues and charge capture.
- Efficiently uses available reference and coding tools and third party payer resources to research, maintain knowledge and provide feedback to department.
- Eligible compensation range $25-$35 depending on experience.

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• Minimum 3 Years in Inpatient Acute facility/hospital coding
• Must reside in one of the following states: Florida, Georgia, Alabama, South/North Carolina, Kentucky, and Arkansas.
• Must have a recognizable coding certification such as CPC or CCS or RHIT or CIC or CCA, etc.
• Strong IDC-10-CM & PCS Codes
• Principal diagnosis for the UB04 and all applicable comorbidities, complications, and procedure coders
• Ability to provide guidance to other departmental staff in identifying and resolving coding issues or errors
• Ability to analyze and resolve claim denials that are rejected by edits from the revenue cycle
• Ability to maintain the national standards and our client’s standards for coding accuracy and internal standards for productivity

• Inpatient Rehab Facility Coding - strongly desired
• Familiarity with IRF compliance and tiering comorbidities impacting reimbursement
• Experience with coding for both the IRF-PAI and UB04
• Ability to accurately assign the IGC and etiologic diagnosis for the IRF-PAI
• CMG (Case-mix Group) Coding Experience

Benefit packages for this role will start on the 31st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.