Coding Specialist III - Inpatient
ECU Health, Greenville, NC, United States
Position Summary
Reviews medical record documentation, extracts data, and applies appropriate diagnosis and procedure codes for complex outpatient hospital, ambulatory surgery, intermediate level of 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 the UHDDS coding guidelines. Assigning and sequencing codes accurately based on medical record documentation. Assigns diagnosis/procedure codes utilizing the 3M Encoder and CAC to arrive at the most accurate code within 5 days of date of service. Incorporates current regulatory coding requirements and guidelines appropriately. Maintains weekly coding productivity log and provides feedback to the Manager of HIMS regarding any coding issues/problems. Maintains coding accuracy of 95% or better. Average number of records coded per week must meet minimum established quantitative standards per type of patient record. Responsible for reviewing claims and correcting edits through CAC/Audit Expert. Demonstrates effective computer skills for all coding functions. Maintains confidentiality of patient information. Participates in in-service education, updates and conferences to remain current with coding requirements and guidelines. Demonstrates competency in the MSDRG system and be able to differentiate between inpatient and outpatient guidelines. Demonstrates competency and retrospectively codes all intermediate inpatient accounts, indicating the POA indicator correctly, discharge disposition and ensuring correct DRG assignment following all hospital regulatory guidelines. Must have knowledge of the Clinical Documentation Management Program and assist the Documentation Specialist with questions regarding code/DRG assignment. Serves as back up for the Coding Specialist I and Coding Specialist II when needed. Maintains AHIMA credentials. Minimum Requirements
High School, equivalent (GED) or higher is required. One of the following AHIMA credentials is required: RHIA, RHIT, CCS. Associate\'s Degree in Health Information Technology or Bachelor\'s Degree in Health Information Management is preferred. 3 years coding complex level inpatient charts at an Academic Medical Center is required. Pay Range
$25.92 - $37.78 Other Information
Remote role (based out of Greenville, NC) Monday - Friday day shift Great Benefits EEO statement: We value diversity and are proud to be an equal opportunity employer. Decisions of employment are made based on business needs, job requirements and applicants 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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Reviews medical record documentation, extracts data, and applies appropriate diagnosis and procedure codes for complex outpatient hospital, ambulatory surgery, intermediate level of 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 the UHDDS coding guidelines. Assigning and sequencing codes accurately based on medical record documentation. Assigns diagnosis/procedure codes utilizing the 3M Encoder and CAC to arrive at the most accurate code within 5 days of date of service. Incorporates current regulatory coding requirements and guidelines appropriately. Maintains weekly coding productivity log and provides feedback to the Manager of HIMS regarding any coding issues/problems. Maintains coding accuracy of 95% or better. Average number of records coded per week must meet minimum established quantitative standards per type of patient record. Responsible for reviewing claims and correcting edits through CAC/Audit Expert. Demonstrates effective computer skills for all coding functions. Maintains confidentiality of patient information. Participates in in-service education, updates and conferences to remain current with coding requirements and guidelines. Demonstrates competency in the MSDRG system and be able to differentiate between inpatient and outpatient guidelines. Demonstrates competency and retrospectively codes all intermediate inpatient accounts, indicating the POA indicator correctly, discharge disposition and ensuring correct DRG assignment following all hospital regulatory guidelines. Must have knowledge of the Clinical Documentation Management Program and assist the Documentation Specialist with questions regarding code/DRG assignment. Serves as back up for the Coding Specialist I and Coding Specialist II when needed. Maintains AHIMA credentials. Minimum Requirements
High School, equivalent (GED) or higher is required. One of the following AHIMA credentials is required: RHIA, RHIT, CCS. Associate\'s Degree in Health Information Technology or Bachelor\'s Degree in Health Information Management is preferred. 3 years coding complex level inpatient charts at an Academic Medical Center is required. Pay Range
$25.92 - $37.78 Other Information
Remote role (based out of Greenville, NC) Monday - Friday day shift Great Benefits EEO statement: We value diversity and are proud to be an equal opportunity employer. Decisions of employment are made based on business needs, job requirements and applicants 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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