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Hospital Inpatient Coding Specialist
1 month ago
The purpose of this position is to correctly assign ICD-10-CM diagnostic/procedure PCS codes on clinical encounters in accordance with regulatory and CMS Official Guidelines for coding and reporting to ensure accurate reimbursement.
Incumbent provides intermediate Clinical inpatient support through the Health Information Management department and works in conjunction with the Health Information Management leadership to complete all applicable coding assignments for inpatient admissions from various discharge departments including but not limited to; Postpartum, Newborn, Newborn NICU, Cardiac ICU, Ortho, Nephrology, Neurosciences, etc.. For compliance, this position must adhere to CMS' Official Guidelines for Coding and Reporting. Intermediate inpatient coding staff must also have experience in one or more of these specialty areas including but not limited to; Recurring Wound Care, Recurring Infusion, Home Health, Hospice, Inpatient Rehab or Interventional Radiology.
Job responsibilities include the accurate assignment of ICD-10-CM diagnostic codes by proficiently translating diagnostic statements, physician orders, and other pertinent documentation; leading to coding accuracy and abstracting of pertinent data elements from documentation provided to report and code for reimbursement.
This position may also be responsible for identifying appropriate charges based on documentation and coding guidelines. When documentation or a valid order is incomplete, vague, ambiguous, or missing it is the responsibility of incumbent to work in conjunction with HIM staff to utilize the appropriate physician clarification process to obtain additional information that provides a codeable sign, symptom, or diagnosis and/or physician order.Other Responsibilities include:
Adherence to Health Information Management (HIM) Coding policies.
Interprets and applies American Hospital Association (AHA) Official Coding Guidelines to articulate and support appropriate principal, secondary diagnoses and procedures.
Adherence to The Joint Commission (TJC) and other third party documentation guidelines in an effort to continually improve coding quality and accuracy.
Responsibility for maintaining coding certification and knowledge referencing current
ICD-10-CM coding guidelines and regulatory changes.
Is well versed with language in the CPT Assistant and HCPCS coding manuals
Contacts the appropriate department or HIM staff member for assistance in obtaining physician clarification of diagnoses.
Participates in performance improvement initiatives as assigned.
This position must consistently meet or exceed productivity and quality standards as defined by department Leadership.
Skills and Certifications
A minimum of 5 years or greater previous inpatient coding experience is required.
Experience in acute care facility and/or Trauma Level II coding preferred.
AAPC, AHIMA or Certified Coding credential (excludes apprenticeship classification) required.
