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HIM Coder III, FT, Variable
Prisma Health

Location: Greenville, South Carolina
Work Setting: Non Provider Setting
Job Function: Coder
Job Type: Full-Time

Introduction

As South Carolina’s largest private, non-profit healthcare system, and second-largest private company, we are here to create a better state of health for South Carolinians. Prisma Health is inspired to help people live their healthiest lives. As the most comprehensive integrated healthcare system in South Carolina, we’re on a journey to transform the healthcare experience for our patients and their families.

That’s why our team members are dedicated to living our purpose: Inspire health. Serve with compassion. Be the difference.

Job Description

Job Summary

Code medical information into the organization billing/abstracting systems and to complete the coding function through established best practice processes and professional and regulatory coding guidelines. To perform Inpatient coding by assigning International Classification of Diseases-Clinical Modification (ICD-CM) and International Classification of Diseases-Procedure Coding System (ICD-PCS) codes as well as the Diagnosis Related Groups (DRG) assignment. Major Complications and Comorbidities/Complications and Comorbidities (MCC/CCs), Hospital-Acquired Condition/Patient Safety Indicator (HAC/PSI) and Quality Indicators capture as appropriate through documentation validation. To code for multiple facilities. Adhere to Prisma Health Coding and Compliance policies and procedures for assignment of complete, accurate, timely and consistent codes.

Accountabilities

• Applies ICD-CM and ICD-PCS codes to complex inpatient records, including major traumas, cardiac/open health and Neonatal Intensive Care Unit (NICU) records based on review of clinical documentation.  Assigns the DRG, MCC/CCs, HACs and PSI that most appropriately reflect documentation of the occurrence of events, severity of illness, and resources utilized during the inpatient encounter and in compliance with department policies and procedures.
  80%
• Review work ques daily to identify charts that need to be coded and prioritizes as per department-specific guidelines and within designated time lines. 3%
• Identify and request physician queries following established guidelines when existing documentation is unclear or ambiguous following American Health Information Management (AHIMA) guidelines and established policy.  2%
• Adheres to department standards for productivity and accuracy. 10%
• Follows up on priority  accounts daily for final coding. 1%
• Identifies and trends coding issues escalating identified concerns to coding leadership. 1%
• Interacts with team members to review for other coders. 1%
• Demonstrates proficiency in utilizing official coding books as well as the electronic medical record, computer assisted coding/encoding software, and clinical documentation information systems to facilitate coding assignment. 1%
•  Performs other duties as assigned. 1%

Required Qualifications

Minimum Education

Certification Program; Associate’s Degree or Coding Certificate through American Health Information Management (AHIMA) or other approved coding certification program.

Minimum Experience

4 years

Required Certifications/Registrations/Licenses

Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Coding Specialist  or other approved coding credential.

Education Qualifications

Minimum Education

Certification Program; Associate’s Degree or Coding Certificate through American Health Information Management (AHIMA) or other approved coding certification program.

Apply Online: https://careers.prismahealth.org/us/en/job/R1039117/HIM-Coder-III-FT-Variable

Posted: March 1, 2022 at 1:02 PM
Post ID: 67101

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