Inpatient Pediatric Medical Coder

Job Description:

• Review clinical documentation and diagnostic results to extract data and apply ICD-10 and CPT diagnosis codes
• Code inpatient pediatric accounts, including Medicare/NonMedicare, surgical, medical, cardiac, moms/babies, and trauma cases
• Code documented services and diagnoses according to ICD-10-CM Official Guidelines, CMS requirements, and mandated standard code sets
• Seek proper documentation when services or diagnoses are incomplete or unclear
• Maintain 95% coding accuracy and average productivity of 2 inpatient charts per hour
• Work pending queues and GuideAudit review queues daily
• Query physicians regarding conflicting, ambiguous, or incomplete medical-record information
• Follow facility query policies and CDI reconciliation processes
• Correct and communicate charts requiring re-bills daily
• Report coder downtime immediately
• Work with IQC staff to maintain facility quality standards
• Answer physician and hospital coding or billing questions within eight hours
• Code or pend every queued chart within 24 hours
• Communicate coding discrepancies and problems to supervisors
• Clock in and out of ADP and enter billing hours into PeopleSoft
• Collaborate with client and Guidehouse IT departments to resolve system issues
• Review and update Client Portal information for daily coding and abstraction
• Check email at least every two hours during work hours
• Complete Guidehouse continuing education and submit certificates
• Maintain HIPAA-compliant workstations and patient privacy
• Follow client and Guidehouse policies and procedures

Requirements:

• High School Diploma/GED or equivalent
• 5+ years of ICD-10-CM and ICD-10 PCS inpatient coding experience
• 1 year of pediatric in-patient coding
• Must hold one of the following credentials: RHIA, RHIT, CCS, CIC, or CPC
• Working knowledge of ICD-10 PCS, governmental regulations, official coding guidelines, and third-party documentation and billing requirements
• Ability to maintain 95% coding accuracy
• Must maintain current professional credentials
• Working knowledge of Coding Clinic Guidelines
• HIPAA-compliant workstation and patient privacy compliance
• Epic experience is nice to have

Benefits:

• Medical, Rx, Dental & Vision Insurance
• Personal and Family Sick Time & Company Paid Holidays
• Position may be eligible for a discretionary variable incentive bonus
• Parental Leave
• 401(k) Retirement Plan
• Basic Life & Supplemental Life
• Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
• Short-Term & Long-Term Disability
• Tuition Reimbursement, Personal Development & Learning Opportunities
• Skills Development & Certifications
• Employee Referral Program
• Corporate Sponsored Events & Community Outreach
• Emergency Back-Up Childcare Program
• Flexible benefits package