Job#: 2044429
Job Description:
Job Title:Clinical Coder IV - Acute Care
Position Type:Direct Hire
Work Location:Remote
Job Description:The Clinical Coder IV - Acute Care is responsible for reviewing clinical documentation and diagnostic results to extract and abstract data, applying appropriate ICD-9-CM/ICD10-CM/PCS and CPT 4 codes for reimbursement, external reporting, research, regulatory compliance, medical necessity, CCI, NCCI, and other regulatory edits. This role involves coding and abstracting medical records of high complexity within the Primary Enterprise acute care facilities.
Key Responsibilities:
- Review medical records of high complexity to identify the appropriate principal diagnosis and procedure codes, as well as all other appropriate secondary diagnoses and procedure codes.
- Assign and present on Admission, Hospital Acquired Condition, and Core Measure Indicators for all diagnosis codes.
- Facilitate appropriate MS-DRG for inpatient medical records and appropriate APC assignment for outpatient medical records using UHDDS and other facility guidelines.
- Demonstrate technical competence in using the facility encoder as it interfaces with the hospital mainframe and/or EMR in an on-site or remote setting.
- Review charges and Evaluation and Management levels.
- Demonstrate proficiency with Microsoft Office Applications and required computer systems with minimal assistance.
- Abstract coded data and other pertinent fields in the hospital electronic health record.
- Ensure the accuracy of data input.
- Meet established quality and productivity standards.
- Facilitate peer review and training for all Acute Clinical Coders in the coding department.
- Provide support to management.
- Stay abreast of coding principles and regulatory guidelines related to inpatient and/or outpatient coding.
- High school diploma or GED required; Bachelor's degree preferred.
- Advanced knowledge in Medical Terminology, Anatomy and Physiology, and Pharmacology required.
- 4 years coding experience in an acute care setting required.
- Current RHIA, RHIT, CCS, CPC-H, CPC, or CIC certification required.
- Must have current RHIA, RHIT, CCS certification plus a passing score on the coding test administered by the hiring manager after successful completion of a first-round interview.
- Minimum 4 years of current acute care inpatient coding experience.
- Must be able to concentrate and sit for long periods while reviewing electronic health records.
- Ability to meet daily and weekly deadlines in a fast-paced office or home environment.
- This is a remote role. The candidate must live in one of these states: Florida, Georgia, Idaho, Kansas, Maine, North Carolina, South Carolina, Vermont, Virginia.
If interested, please send your resume to [email protected]
EEO Employer
Apex Systems is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of race, color, religion, creed, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), age, sexual orientation, gender identity, national origin, ancestry, citizenship, genetic information, registered domestic partner status, marital status, disability, status as a crime victim, protected veteran status, political affiliation, union membership, or any other characteristic protected by law. Apex will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law. If you have visited our website in search of information on employment opportunities or to apply for a position, and you require an accommodation in using our website for a search or application, please contact our Employee Services Department at [email protected] or 844-463-6178.
Apex Systems is a world-class IT services company that serves thousands of clients across the globe. When you join Apex, you become part of a team that values innovation, collaboration, and continuous learning. We offer quality career resources, training, certifications, development opportunities, and a comprehensive benefits package. Our commitment to excellence is reflected in many awards, including ClearlyRated's Best of Staffing in Talent Satisfaction in the United States and Great Place to Work in the United Kingdom and Mexico.
VEVRAA Federal ContractorWe request Priority Protected Veteran & Disabled Referrals for all of our locations within the state.We are an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected characteristic. The EEO is the Law poster is available here.