Inpatient Coder/Abstractor - Health Information Management

Job Summary: The Inpatient Coder is responsible for accurately assigning diagnosis and procedure codes to inpatient discharges at the smaller McLeod Health facilities representing less complex medical/surgical encounters.

• Keeps abreast of all new coding developments by attending any coding classes, reading articles on coding updates, and attending seminars when available.
• Possess inpatient coding knowledge and experience necessary to accurately assign codes to determine correct principal diagnosis, identify and assign co-morbidities and complications, secondary diagnoses, present on admission indicator, discharge disposition, Hospital Acquired conditions, principal procedure and secondary procedures on all discharged inpatient records to arrive at the most appropriate DRG assignment.
• Codes all Obstetrics, Newborn and Behavioral Health encounters at applicable facilities if assigned by Supervisor and/or Director.
• Queries physicians appropriately when documentation is not clear in the medical record.
• Must work closely with the Clinical Documentation Specialists to assure the most optimal DRG is assigned.
• Maintains department specific productivity standards with a 95% accuracy rate.
• Other duties as assigned.

Work Schedule: 80 hours bi-weekly

Requirements

Licenses and Certifications:

AHIMA Registered Health Information Technician

Memberships:

Occupation Risk Assessment

Founded in 1906, McLeod Health is a locally owned and managed, not for profit organization supported by the strength of more than 900 members on its medical staff and more than 2,900 licensed nurses. McLeod Health is also composed of approximately 15,000 team members and more than 90 physician practices throughout its 18-county service area . With seven hospitals, McLeod Health operates three Health and Fitness Centers, a Sports Medicine and Outpatient Rehabilitation Center, Hospice and Home Health Services. The system currently has 988 licensed beds , including Hospice and Behavioral Health. The hospitals within McLeod Health include: McLeod Regional Medical Center, McLeod Health Dillon, McLeod Health Loris, McLeod Health Seacoast, McLeod Health Cheraw, McLeod Health Clarendon and McLeod Behavioral Health.

Where you can work from

This job is 100% remote, for applicants who live in the United States.