Job Type: Regular

Time Type: Full time

Work Shift: Day (United States of America)

FLSA Status: Non-Exempt

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.

Under general supervision of the IP Coding Manager and IP Coding Supervisor, the IP Coder the review of inpatient record and accurate, timely, and compliant assignment of ICD-10-CM and ICD-10-PCS codes to assure the correct MS-DRG, APR DRG, SOI assignment.

The IP coder will work closely with the Coding leadership, IP Coding Validators, and collaborates with Clinical Documentation Staff to assure coding uniformity, consistency and accuracy with ICD-10-CM, ICD-10-PCS, Official Coding Guidelines, Federal and State regulations, the American Hospital Association coding guidelines and its publication Coding Clinic.

The IP coder is also responsible for meeting or exceeding quality and quantity expectations while performing coding functions to support timely coding and billing.

Job Description:

Essential Duties & Responsibilities:

• Review the complete electronic and scanned medical record of discharged patients. Assigns ICD-10-CM diagnosis and ICD-10-PCS procedure codes from documentation in the medical record.

• Abstracts coded data and patient information into the coding abstracting system in use by BILH (examples of information includes attending physician, surgeon, dates of surgery, disposition, discharge date, and infant birth weight).

• Applies ICD-10-CM and ICD-10-PCS Official Guidelines for Coding and Reporting, AHA Coding Clinic Advice when coding inpatient records, and facility specific guidelines.

• Sequences the assigned codes using 3M software, exercises all principles of assigning and sequencing ICD-10-CM and ICD-10-PCS codes for comprehensive coding and appropriate DRG assignment.

• Participates in training programs, including educational sessions for ICD-10-CM and ICD-10-PCS coding guidelines and updates.

• Follows hospital specific guidelines to identify and facilitate prompt resolution of documentation, abstracting and/or other account problems.

Minimum Qualifications:

Education:

• High School diploma or equivalent, required

• Minimum of Associate degree in Health Information Management or Completion of a AHIMA or AAPC Coding Certification program, required

Licensure, Certification & Registration:

• RHIA, RHIT or CCS from AHIMA or a CIC from AAPC, required

Experience:

• Computer skills

• Minimum 3 years of ICD-10-CM, ICD-10-PCS Inpatient coding assignment, required

• Minimum 1 year of ICD-10-CM, ICD-10-PCS Inpatient coding assignment at a Level 1 trauma or Academic Medical Center, preferred

Required Skills, Knowledge & Abilities:

• Medical terminology

• Proficient in Microsoft Office Excel, Word and PowerPoint applications

• Knowledge and understanding of current ICD-10-CM and ICD-10-PCS Official Guidelines for Coding and Reporting

• Knowledge of medical records content and management

• Working knowledge of the EMR either through experience or education, including experience working with structured data and database management

• Strong written communication skills

• Knowledge of laws and regulations about health information and patient confidentiality

• Adheres to Department, Hospital, and Human Resource Policies

Preferred Qualifications & Skills:

• Epic experience

• 3M-360 Computer Assisted Coding

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) and COVID-19 as a condition of employment. Learn more about this requirement.

More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

Equal Opportunity Employer/Veterans/Disabled