ECU Health
Coding Specialist III - Inpatient
ECU Health, Greenville, North Carolina, United States, 27834
Position Summary
Reviews medical record documentation, extracts data, and applies appropriate diagnosis and procedure codes for complex outpatient hospital, ambulatory surgery, intermediate-level inpatient accounts and behavior health to support hospital billing, internal and external reporting, research and regulatory compliance. Complies with the ICD-9-CM Official Guidelines for Coding and Reporting as well as other nationally established rules and regulations for coding assignment.
Responsibilities
Provide code assignment for the following complex inpatient accounts: cardiac, complex cancer, complicated OB, NICU, PICU, complicated orthopedic, tracheostomy, trauma, and vascular.
Assign diagnostic and procedural codes to patient records using ICD-10-CM and any other designated coding classification system in accordance with UHDDS coding guidelines.
Assign and sequence codes accurately based on medical record documentation.
Use the 3M Encoder and CAC to arrive at the most accurate code within 5 days of date of service.
Incorporate current regulatory coding requirements and guidelines appropriately.
Maintain weekly coding productivity log and provide feedback to the Manager of HIMS regarding any coding issues or problems.
Maintain coding accuracy of 95% or better.
Meet minimum established quantitative standards for the average number of records coded per week per type of patient record.
Review claims and correct edits through CAC/Audit Expert.
Demonstrate effective computer skills for all coding functions.
Maintain confidentiality of patient information.
Participate in in‑service education, updates, and conferences to remain current with coding requirements and guidelines.
Demonstrate competency in the MSDRG system and differentiate between inpatient and outpatient guidelines.
Retrospectively code all intermediate inpatient accounts, indicating the POA indicator correctly, discharge disposition, and ensuring correct DRG assignment following all hospital regulatory guidelines.
Possess knowledge of the Clinical Documentation Management Program and assist the Documentation Specialist with questions regarding code/DRG assignment.
Serve as backup for the Coding Specialist I and Coding Specialist II when needed.
Maintain AHIMA credentials.
Minimum Requirements
High School, equivalent (GED) or higher is required.
Associate's Degree in Health Information Technology or Bachelor's Degree in Health Information Management is preferred.
One of the following AHIMA credentials is required: RHIA, RHIT, CCS.
Three years of coding complex-level inpatient charts at an Academic Medical Center is required.
Other Information
Remote role (based out of Greenville, NC).
Monday – Friday day shift: 8:00 a.m. – 5:00 p.m.
Great benefits.
About ECU Health ECU Health is a mission‑driven, 1,708‑bed academic health care system serving more than 1.4 million people in 29 eastern North Carolina counties. The not‑for‑profit system is comprised of 13,000 team members, nine hospitals and a physician group that encompasses over 1,100 academic and community providers practicing in over 180 primary and specialty clinics located in more than 130 locations.
The flagship ECU Health Medical Center, a Level I Trauma Center, and ECU Health Maynard Children’s Hospital serve as the primary teaching hospitals for the Brody School of Medicine at East Carolina University. ECU Health and the Brody School of Medicine share a combined academic mission to improve the health and well‑being of eastern North Carolina through patient care, education and research.
General Statement It is the goal of ECU Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position.
Equal Employment Opportunity Statement Offers of employment are subject to successful completion of all pre‑employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification.
We value diversity and are proud to be an equal‑opportunity employer. Decisions of employment are made based on business needs, job requirements and applicant’s qualifications without regard to race, color, religion, gender, national origin, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or expression, or any other status protected by law. We prohibit retaliation against individuals who bring forth any complaint, orally or in writing, to the employer, or against any individuals who assist or participate in the investigation of any complaint.
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Responsibilities
Provide code assignment for the following complex inpatient accounts: cardiac, complex cancer, complicated OB, NICU, PICU, complicated orthopedic, tracheostomy, trauma, and vascular.
Assign diagnostic and procedural codes to patient records using ICD-10-CM and any other designated coding classification system in accordance with UHDDS coding guidelines.
Assign and sequence codes accurately based on medical record documentation.
Use the 3M Encoder and CAC to arrive at the most accurate code within 5 days of date of service.
Incorporate current regulatory coding requirements and guidelines appropriately.
Maintain weekly coding productivity log and provide feedback to the Manager of HIMS regarding any coding issues or problems.
Maintain coding accuracy of 95% or better.
Meet minimum established quantitative standards for the average number of records coded per week per type of patient record.
Review claims and correct edits through CAC/Audit Expert.
Demonstrate effective computer skills for all coding functions.
Maintain confidentiality of patient information.
Participate in in‑service education, updates, and conferences to remain current with coding requirements and guidelines.
Demonstrate competency in the MSDRG system and differentiate between inpatient and outpatient guidelines.
Retrospectively code all intermediate inpatient accounts, indicating the POA indicator correctly, discharge disposition, and ensuring correct DRG assignment following all hospital regulatory guidelines.
Possess knowledge of the Clinical Documentation Management Program and assist the Documentation Specialist with questions regarding code/DRG assignment.
Serve as backup for the Coding Specialist I and Coding Specialist II when needed.
Maintain AHIMA credentials.
Minimum Requirements
High School, equivalent (GED) or higher is required.
Associate's Degree in Health Information Technology or Bachelor's Degree in Health Information Management is preferred.
One of the following AHIMA credentials is required: RHIA, RHIT, CCS.
Three years of coding complex-level inpatient charts at an Academic Medical Center is required.
Other Information
Remote role (based out of Greenville, NC).
Monday – Friday day shift: 8:00 a.m. – 5:00 p.m.
Great benefits.
About ECU Health ECU Health is a mission‑driven, 1,708‑bed academic health care system serving more than 1.4 million people in 29 eastern North Carolina counties. The not‑for‑profit system is comprised of 13,000 team members, nine hospitals and a physician group that encompasses over 1,100 academic and community providers practicing in over 180 primary and specialty clinics located in more than 130 locations.
The flagship ECU Health Medical Center, a Level I Trauma Center, and ECU Health Maynard Children’s Hospital serve as the primary teaching hospitals for the Brody School of Medicine at East Carolina University. ECU Health and the Brody School of Medicine share a combined academic mission to improve the health and well‑being of eastern North Carolina through patient care, education and research.
General Statement It is the goal of ECU Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position.
Equal Employment Opportunity Statement Offers of employment are subject to successful completion of all pre‑employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification.
We value diversity and are proud to be an equal‑opportunity employer. Decisions of employment are made based on business needs, job requirements and applicant’s qualifications without regard to race, color, religion, gender, national origin, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or expression, or any other status protected by law. We prohibit retaliation against individuals who bring forth any complaint, orally or in writing, to the employer, or against any individuals who assist or participate in the investigation of any complaint.
#J-18808-Ljbffr