Certified Inpatient Coder – IRF, PPS at Netsmart
Certified Inpatient Coder – IRF/PPS
Remote – Other
job requisition id
Do you code medical records for Inpatient Medical Rehabilitation?
Do you perform coding audits of medical records for Inpatient Medical Rehabilitation ?
We are seeking a candidate who has a proven record for accuracy in IRF coding and thorough understanding of ICD-10 codes and related IRF coding regulations. Responsibilities include conducting IRF PPS Coding audits inclusive of IRF-PAI and UB-04 review, maintaining expertise in ICD-10 coding and credentials and meeting daily accuracy and production standards in accordance with established department policies. . The ideal candidate has a highly developed ability to review medical records to identify the etiologic diagnosis , current comorbid conditions, and complications recorded on the IRF-PAI relative to the patient’s inpatient rehabilitation stay. The candidate must have ability to review the coding on the UB-04 claim form and determine the accuracy of the principal diagnosis and secondary diagnoses as determined by physician documentation. Essential is the ability to identify incomplete or missing diagnosis codes on the IRF-PAI and UB-04 claim form and also identify codes that impact CMG tier and compliance.
Come join this amazing team of experts that provides healthcare facilities the clinical and technical expertise that enables them to adhere to the complex regulations for care and payment. Collaborate on a daily basis with clinicians who in conjunction with coders perform full coding /clinical audits. Also perform coding only audits in adherence with up to date ICD-10 coding guidelines.
Knowledge and skills:
- Associate’s degree in medical coding or equivalent training acquired through at least five years of progressive on-the-job experience; health related BS degree a plus.
- Experience in IRF coding is required.
- A minimum of 3 years of ICD-10-CM coding experience directly applying codes for inpatient rehabilitation prospective payment systems is required. CCS Certified AHIMA Coding Specialist, CPC credential from AAPC a plus. * CCS, Certified Coding Specialist, AHIMA; CPC, Certified Professional Coder, AAPC a plus.
Our diverse team of highly motivated leaders, innovators, and healthcare experts are the secret to our 30 plus years of success. If you are a professional who collaborates with their team to deliver the best and most reliable network system then apply today!
- Normal office environment including but not limited to long periods of sitting, typing, analyzing data, telephone communication, use of standard office equipment and daily personal interaction.
Netsmart is proud to be an equal opportunity workplace and is an affirmative action employer, providing equal employment and advancement opportunities to all individuals. We celebrate diversity and are committed to creating an inclusive environment for all associates. All employment decisions at Netsmart, including but not limited to recruiting, hiring, promotion and transfer, are based on performance, qualifications, abilities, education and experience. Netsmart does not discriminate in employment opportunities or practices based on race, color, religion, sex (including pregnancy), sexual orientation, gender identity or expression, national origin, age, physical or mental disability, past or present military service, or any other status protected by the laws or regulations in the locations where we operate.
Netsmart desires to provide a healthy and safe workplace and, as a government contractor, Netsmart is committed to maintaining a drug-free workplace in accordance with applicable federal law. Pursuant to Netsmart policy, all post-offer candidates are required to successfully complete a pre-employment background check, including a drug screen, which is provided at Netsmart’s sole expense. In the event a candidate tests positive for a controlled substance, Netsmart will rescind the offer of employment unless the individual can provide proof of valid prescription to Netsmart’s third party screening provider. Additionally, a positive result for marijuana will not automatically disqualify a candidate from employment if the individual can provide a valid prescription for medicinal use issued in his or her state of residence. A prescription is required even in states where recreational use has been legalized.
All applicants for employment must be legally authorized to work in the United States. Netsmart does not provide work visa sponsorship for this position.