Grace Federal Solutions LLC

HIM Medical Records Coder II - Inpatient (Remote)

Healthcare - Raleigh, NC - Full Time

Grace Federal Solutions is currently recruiting a Full Time HIM Medical Records Coder II - Inpatient.

Great opportunity for one of our valued clients in the Raleigh Durham area.

The HIM Coder II utilizes experience, education, coding guidelines and coding policies and procedures to perform all daily duties. Performs evaluation and review of medical record documentation to accurately assign codes for the primary/secondary diagnoses and procedures using ICD-10-CM, ICD-10-PCS, CPT-4 and HCPCS Level II. Sequence the diagnoses and procedures using coding guidelines and ensures DRG or APC assignment is accurate. HIM Coder II focuses their work on capturing data with consideration for regulations and requirements to support medical necessity and reimbursement.

  • Review medical record documentation and accurately assign codes for the primary/secondary diagnoses and procedures using ICD-10-CM, ICD-10-PCS, CPT-4 and HCPCS Level II. Sequence diagnoses and procedures using coding guidelines. 80% of time spent
  • Use logic and reasoning to demonstrate critical thinking in the assignment of diagnosis and procedure codes with consideration for reimbursement, quality and other data capture requirements. 10% of time spent
  • Query physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes. 5% of time spent.

Must reside in the state of North Carolina.

Apply: HIM Medical Records Coder II - Inpatient (Remote)
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