Coder-Inpatient

Job Summary

Welcome to a promising future with this unique career opportunituy. At Carilion Clinic, our team provides accurate medical record documentation in a forward-thinking environment.

You will thrive through extensive training, supportive leaders and potential for advancement. Carilion offers comprehensive benefits, paid time off, and tuition options.

Join a team where your skills and ideas will make a difference in the health of our patients and the communities we live in.

The Inpatient Coder is responsible for concurrent or retrospective coding of inpatient accounts, using ICD-10 CM coding guidelines. Requires daily consultation with physicians to ensure accurate capture of the principal diagnoses and procedure, and Present on Admission Indicators to ensure proper APRDRG, APDRG or DRG assignment for reimbursement and clinical reporting. Acts as a documentation improvement consultant with the physicians, and assists them with correct documentation for coding and reporting clarity. Interacts with Case Management, QM, UM, Infection Control, and Pharmacy by generating codes that identify patients with potential long LOS, JCAHO Core Indicators, Nosocomial or Community-acquired infections and adverse drug reactions, promoting real-time intervention and improved quality of patient care. Masters the Severity of Illness and Risk of Mortality indicators and consults with physicians to ensure documentation reflects these characteristics in our patient population. Organization-wide Inpatient Volume is approximately 50,000 - 55,000 per year.

Primary job duties of the Coder-Inpatient include, but are not limited to, the following:
 

• Must be skilled in the application of ICD-10-CM and CPT coding methodologies for coding  of Inpatient records and well as ED, Ambulatory Surgery, and medical necessity for Ourpatient Diagnostic visits.
• Captures the correct principal diagnosis, co-existing conditions, and principal procedure for each inpatient admission. Consults with the physicians to clarify or improve documentation for correct coding assignment to ensure correct data reporting and reimbursement and to maintain compliance with Federal and State regulations.
• Responsible for sequencing codes that a) capture accurate Severity of Illness/Risk of Mortality, to reflect the nature of Carilion's  patient population for comparison to other facilities and health organizations nationally, impacting quality of care reporting of Carilion's facilities and pay for performance initiatives.
• Masters all grouper systems used by payers to assign the correct, DRG, APDRG, or APRDRG and maintains a working knowledge of payer requirements for use of HCPCS S, C, G, and D code application.

Minimum Qualifications

Education: High School education required: College degree preferred. Medical Terminology and Physiology & Anatomy required.

Experience: Requires minimum of 2-2.5 yrs previous experience in Inpatient Coding with a 95% accuracy rate . Requires knowledge of body systems, disease processes, anatomy and physiology and medical terminology. Basic computer skills required.

Licensure, certification, and/or registration: RHIT, RHIA, CCA, CCS, CPC, or CPC-H, certifications required for consideration for position.

About Carilion

This is Carilion Clinic ...

An organization where innovation happens, collaboration is expected and ideas are valued. A not-for-profit, mission-driven health system built on progress and partnerships. A courageous team that is always learning, never discouraged and forever curious.

Headquartered in Roanoke, Va., you will find a robust system of award winning hospitals, Level 1 and 3 trauma centers, Level 3 NICU, Institute of Orthopedics and Neurosciences, multi-specialty physician practices, and The Virginia Tech Carilion School of Medicine and Research Institute.

Carilion is where you can make your own path, make new discoveries and, most importantly, make a difference. Here, in a place where the air is clean, people are kind and life is good. Make your tomorrow with us.