Inpatient Coder 2 [Remote], Health Information Management, Full Time, Days

Department: Health Information Management 

Address: 1611 NW 12 Ave, Miami, FL 33136 

Shift Details: Monday to Friday, 7.30 AM to 4 PM [Remote]

Jackson Health System is a nationally and internationally recognized academic medical system offering world-class care to any person who walks through our doors. For more than 100 years, Jackson has evolved into one of the world’s top medical providers for all levels of care, no matter if it’s for a routine patient visit or for a lifesaving procedure. With more than 2,000 licensed beds, we are also proud of our role as the primary teaching hospital for the University of Miami Miller School of Medicine. Here, the best people come together to deliver Jackson’s mission for our diverse communities. Our employees are committed to providing the best CARE by demonstrating compassion, accountability, respect, and expertise in everything we do.

HIM Inpatient Coder 2 is responsible for reviewing the clinical documentation contained in the in-patient medical records to accurately assign and sequence ICD-9 diagnostic and ICD-9 procedure codes to inpatient records for use in reimbursement and data collection. The HIM – In-patient Coder 2 is able to code complex cases usually resulting in numerous codes and long length of stay.

Responsibilities

• Has the knowledge and experience to code complex cases using ICD-9 and/or ICD-10 code set; including, but not limited to the following services: Trauma, Transplant, Neurosurgery, Cardiovascular Surgery, Burn Unit, and any other medical record assigned to them. 
• Ensures all accounts are coded correctly, which will provide an accurate MS-DRG or APR-DRG for appropriate reimbursement. 
• Ensures all accounts are coded within 4 days of the patient’s discharge date, meeting productivity standards according to AHIMA Guidelines depending on record type. 
• Verifies patient information to identify any discrepancies and ensures that all codes and any other abstracted information is applied to the appropriate patient’s encounter. 
• While reviewing the record for coding purposes, serves as a quality reviewer, and identifies any documents not belonging to the patient, or the correct patient’s encounter. 
• Ensures the accuracy when using the appropriate modifiers while coding out patient’s encounters.
• Assesses documentation and if necessary queries the physician for additional information when indicated to clarify a diagnosis, symptom or any reason for services provided, according to Coding Guidelines and Coding Clinics. 
• Makes sure all codes are utilized to reflect the care rendered to the patient which in return will ensure patient safety, accuracy of data retrieval and provides the organization with accurate reimbursement for the care provided to the patient. 
• Recognizes and reports unusual circumstances and/or information with possible risk factors to the Coding Associate Administrator or the Coding Director. 
• Meets continuing education requirements established by American Health Information Management Association (AHIMA) and/or American Association of Professional Coders (AAPC) to maintain appropriate certification and competency in job skills and knowledge. 
• Is actively involved in all ICD-10-CM-PCS education sessions provided by JHS, and any other outside entity approved by JHS. 
• Shows competency according to education received. 
• Adheres to the Standards of Excellence at all times, and respects the rights, privacy and property of others at all times including the confidentiality of information, according to Administrative Policies HIPAA Guidelines and all applicable laws and regulations. 

Experience

• Generally requires 3 to 5 years of related experience.
• At least two years of prior acute care coding experience is highly preferred 

Education

• High School diploma is required.

Credentials

• Must be credentialed with an HIM/Coding Credentials and/or Certification by AHIMA or AAPC.

Jackson Health System is an equal opportunity employer and makes employment decisions without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, disability status, age, or any other status protected by law.

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