Neuropsychiatric Hospitals
Location
Kalamazoo, Michigan
The HIM Coder is responsible for coding inpatient medical records using ICD-10-CM and ensuring accurate MS-DRG assignment. They also perform clinical documentation improvement, analyze medical records for quality assurance, and assist with general HIM department tasks.
Candidates must have a high school diploma or GED, with an associate's degree in a related field preferred. A minimum of one year of coding experience in an acute care setting and a current AHIMA or AAPC credential are required.
Codes inpatient medical records utilizing ICD-10-CM. Groups for MS-DRG assignment and optimization following coding guidelines. Assembles and analyzes medical records timely and accurately for quantitative deficiencies. Maintains master index and other logs. Assists with record studies and projects. Completes Clinical Documentation Improvement process including querying providers as deemed necessary. Analyzes charts for Quality Assurance. Assists with other responsibilities of the HIM Department. Answers and directs telephone calls; takes and relays messages; greets public and staff; ability to multitask. Assists in other areas as needed. Completes required competencies; attends regular meetings; demonstrates regular and predictable attendance. Floats to other units and/or facilities as assigned. Maintains a professional approach with confidentiality. Assures protection and privacy of health information as attained through written, electronic or oral disclosures. Displays concern and initiative. Is resourceful and calm in emergencies. Is prompt and efficient with minimal absences. Cooperates and maintains good rapport with nursing staff, medical staff, other departments, and visitors. Seeks guidance, remains knowledgeable of, and complies with, all applicable federal and state laws, as well as hospital polices that apply to assigned duties. Complies with hospital expectations regarding ethical behavior and standards of conduct. Complies with federal and hospital requirements in the areas of protected health information and patient privacy. Performs other duties as requested or assigned.
High School Diploma or GED required. Associate's degree in Health Information Management, Medical Coding, or a healthcare-related field preferred. Current AHIMA or AAPC credential required. Minimum of 1 year of coding experience within an acute care hospital setting required. Annual coding training required. Experience in ICD-10, DRG optimization, and abstracting clinical information for billing preparation and statistical purposes required.
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