Full-time
40 hours weekly
Under direct supervision, reviews physician/provider documentation in Inpatient health records to determine the principal diagnosis, secondary diagnoses, principal procedure, and secondary procedures. Assigns appropriate Medicare Severity Diagnosis Related Groups (MS-DRG), All Patient Refined DRGs (APR), Present on Admission (POA), as well as Severity of Illness (SOI) & Risk of Mortality (ROM) indicators for Inpatient records. Identifies Hospital Acquired Conditions (HAC), Patient Safety Indicators (PSI) to ensure accurate hospital reimbursement.
Utilizes encoder software applications, which includes all applicable online tools and references in the assignment of International Classification of Diseases, Clinical Modification (ICD-CM) diagnosis and procedure codes, MS-DRG, APR DRG, POA, SOI & ROM assignments.
Assigns appropriate code(s) by utilizing coding guidelines established by:
• The Centers for Disease Control (CDC), ICD-CM Official Coding Guidelines for Coding and Reporting, Centers for Medicare/Medicaid Services (CMS) ICD-PCS Official Guidelines for Coding and Reporting
• American Hospital Association (AHA) Coding Clinic for International Classification of Diseases, Clinical Modification
• American Health Information Management Association (AHIMA) Standards of Ethical Coding
• Revenue Excellence/HM coding procedures and guideline
Position Requirements:
Minimum Education:
Required: High School Diploma plus training acquired through work experience or education
Preferred: Associate degree OR equivalent training acquired via work experience or education Specify Degree(s): Graduate of accredited Health Information/Coding program
Minimum Experience:
Required: Less than one year of previous job-related experience
Preferred: 1-2 years of previous job-related experience
Managerial Experience: N/A
Licensure/Certifications:
Required: Coder - Certified Coding Associate (AHIMA) or Coder - Certified Coding Specialist (AHIMA) or Coder - Certified Coding Specialist Physician Based (AHIMA) or Health Information - Registered Health Information Administrator (AHIMA) or Health Information - Registered Health Information Technician (AHIMA)
Preferred: N/A
Other: At least one of the above certifications is required upon hire or within first 9 months of employment.
Pay Range: $24.33 - $37.73 per hour
Actual compensation will fall within the range but may vary based on factors such as experience, qualifications, education, location, licensure, certification requirements, and comparisons to colleagues in similar roles.
Trinity Health Benefits Summary
Our Commitment to Diversity and Inclusion
Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.