Coder (Finance)

Description

Nemours is seeking a Coder! This position is responsible for the proper coding and abstracting of inpatient facility medical records using ICD-10-CM diagnosis and PCS codes in accordance with ICD 10 CM and PCS coding conventions and the Official Guidelines for Coding and Reporting.

Knowledge and adherence to the Official Coding Guidelines for ICD 10 CM and PCS is required. Participation in on-going coding training and education is essential and required for this position. Maintaining annual coding certification through the American Health Information Management Association (AHIMA) or the AAPC is also required.

Responsibilities:

Translate diagnostic and procedural documentation into the appropriate ICD-10-CM, PCS, SOI, and ROM assignments

Select the appropriate principal diagnosis code, secondary diagnoses, and procedure codes according to the UHDDS.

Analyze the circumstances of admission to ensure proper sequencing, selection of discharge disposition, and Present on Admission (POA) assignment.

Appropriate capture Complications and Comorbidities.

Ensure appropriate DRG assignment.

Identify cases that require further clarification based on the clinical indicators in the record.

Communicate and work with the Clinical Documentation Specialist.

Review medical record information using Epic.

Abstract records in an accurate manner according to established procedures and guidelines.

Meet and/or exceed coding quality and productivity standards.

Review and address coding validation edits, 3M edits, and participate in Coding Prebill reviews as well as peer reviews.

Demonstrate and incorporate a working knowledge of the Epic system for retrieval of clinical data for coding purposes.

Assist with coding shadowing and cross training as needed.

Qualifications:

• High School Diploma required; Associate Degree is preferred.
• Certified Coding Specialist Certification (CCS), Certified Inpatient Coder (CIC), or CPC is required.
• Minimum one year coding experience is required.
• Knowledge of the Official Coding Guidelines for ICD 10 CM and PCS is required.
• Previous experience with All Patient Refined (APR) Diagnostic Related Groups (DRGs) is preferred.
• Pediatric inpatient coding experience is preferred.

About Us

Nemours Children's Health is an internationally recognized children's health system. With more than 1.7 million patient encounters annually, we provide medical care in five states through two freestanding state-of-the-art children's hospitals - Nemours Children's Hospital, Delaware and Nemours Children's Hospital, Florida. Our pediatric network includes 80 primary-urgent-and specialty care practices and more than 40 hospitalists serving 19 affiliated hospitals. We generate annual revenues of more than $1.7 billion derived from patient services, contributions from the Alfred I. DuPont Trust, as well as other income.

As one of the nation's premier pediatric health systems, we're on a journey to discover better ways of approaching children's health. Putting as much focus on prevention as cures and working hand in hand with the community to make every child's world a place to thrive. It's a journey that extends beyond our nationally recognized clinical treatment to an entire integrated spectrum of research, advocacy, education, and prevention, leading to the healthiest generations of children ever.

Inclusion and belonging guide our growth and strategy. We are looking for individuals who are passionate about, and committed to, leading efforts to provide culturally relevant care, reducing health disparities, and helping build an inclusive and supportive environment. All of our associates are expected to ensure that these philosophies are embedded in their day-to-day work with colleagues, patients and families.

To learn more about Nemours Children's and how we go well beyond medicine, visit us at www.nemours.org .