The role of the Coder, Inpatient Level III is to interact extensively with the physician and others members of the healthcare team to facilitate the improvement in the overall quality, completeness and accuracy of medical record documentation. This position will support the appropriate clinical picture and level of severity of the patient while providing accurate and complete information that is utilized in the medical record and core measure abstraction and coding process to obtain appropriate reimbursement. This position will also be responsible for coordinating and providing education to all physicians and other clinicians related to compliant documentation responsibilities and coding and abstraction issues. This position will identify opportunities for documentation improvement to ensure accuracy and completeness of documentation used for measuring and reporting physician and hospital outcomes [e.g., patient safety indicators (PSI) and hospital-acquired conditions (HAC)]. The Coder, Inpatient Level III will collaborate as necessary with other disciplines to communicate these opportunities for referral to the appropriate performance improvement committee for resolution. This position will primarily review inpatient medical records using nationally recognized guidelines and assure accurate and complete documentation of diagnoses, procedures and DRG assignment. The Coder, Inpatient Level III will demonstrate understanding of complications, co-morbidities, severity of illness, risk of mortality, case mix index, MS-DRG, APR-DRG, secondary diagnosis, risk-adjustment methodologies and impact of procedures on the final DRG.
EDUCATION: High school diploma required. Associate of Science degree in health information technology preferred. RHIA preferred. Successful completion of a college-based coding program or college-based coding certificate program preferred (AHIMA-approved preferred).
Knowledge of core measures, HAC and AHRQ PSI/Harm Measures preferred.
EXPERIENCE: Minimum 5 years of inpatient acute care coding (recent hands-on production) experience required. Proficiency in clinical and business applications preferred at time of hire. Incumbents within position will be trained appropriately and then skill will be required for this position within 30-60 days from date of hire.
Demonstrates the technical competencies as established on the Assessment and Evaluation Tool.
This active position requires the ability to work in a busy patient care area. Near visual acuity, long periods of visually examining documents and electronic files, and skilled use of multiple computer applications required. The Coder, Inpatient Level III works independently and autonomously with minimal supervision. Critical thinking and strong customer service skills required and ability to manage daily work duties accurately and efficiently
The essential functions for this position are listed on the Assessment and Evaluation Tool.
AtlantiCare is an equal opportunity employer that takes affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disability.
Whether you lead an active life or love leisure, you’ll enjoy working and living in the beach communities of New Jersey’s southeastern shore.
Benefits & Wellness
We believe that healthcare should be a rewarding career. That’s why we offer excellent compensation, exceptional health and wellness benefits, and internal resources and programs to support professional growth for our team members. Here, you’ll find everything you need to pursue your calling of caring for others, knowing that you’re working for an organization dedicated to your overall well-being.
Inclusion & Diversity
Diversity and inclusion are at the heart of what makes AtlantiCare a great organization. We recognize and celebrate individual differences as dimensions that enrich our workforce and allow us to be more creative, flexible and competitive. Our inclusive culture welcomes our employees to freely contribute their diverse ideas, background, talents and experiences to make this a place where everyone can be, and do, their best work together.
For many, the shore communities of southeastern New Jersey are vacation destinations, but for AtlantiCare employees, they’re home. Working at AtlantiCare allows you to experience shore life year-round. Here, you’ll find natural beauty, world-class entertainment, rich history, amazing arts, abundant outdoor recreation, shopping, sophisticated dining and plenty of family-friendly events all within communities you’ll love to call home.
The spirit of collaboration is alive and well at AtlantiCare. We empower our teams to be agents of change within our system. We encourage growth and support advancement. Our shared vision for advancing the health of the communities and people we serve guides us to do what’s right for each patient, our healthcare delivery system and the practice of medicine as a whole. We teach, grow and advance medicine together.
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