Job Details

SUMMARY: Under the general supervision of the Health Information Coding Manager, reviews the inpatient medical record to assign appropriate codes in accordance with the ICD-10-CM/PCS Official Guidelines for Coding and Reporting.

Determines appropriate MS DRG/PR DRG assignment for optimal classification and accurate and compliant clinical reporting. Identifies and recommends physician queries when documentation in the chart is incomplete, ambiguous or unclear.

RESPONSIBILITIES:

• Enters into a written Telecommuting Agreement with department management.
• Reads and comprehends the inpatient medical record identifying all treated diagnoses and procedures reporting the correct code(s) adhering to rules set forth in Official Coding Guidelines.
• Performs coding validation on codes computer-assisted and auto-suggested codes from 3M.
• Understands clinical documentation to recognize when a query to the physician is required.
• Codes straightforward inpatient medical records such as seen in community hospitals excluding Level 1 trauma cases and complex surgical cases.

MINIMUM QUALIFICATIONS:

• Associate degree required; health information technology preferred.
• AHIMA CCS Certified Coding Specialist credential or AAPC credential CIC, Certified Inpatient coder.
• Three to five years inpatient coding experience in a teaching or acute care hospital required.

WORKING CONDITIONS: Reads electronic medical records for the entire workday dual computer monitors. Ability to sit for long periods, lift a minimum of 25 pounds, bend, stoop, stretch, use step-stools to file records.

EEO Statement: Brown University Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, ethnicity, sexual orientation, ancestry, genetics, gender identity or expression, disability, protected veteran, or marital status.

Pay Range: $26.27-$43.34