Inpatient Medical Coder Specialist

2 weeks ago


Annapolis, Maryland, United States Luminis Health Full time
Job Title: Inpatient Medical Coder

Job Summary:

Luminis Health is seeking a highly skilled Inpatient Medical Coder to join our team. As an Inpatient Medical Coder, you will be responsible for accurately coding hospital inpatient accounts for reimbursement, research, statistics, and compliance with federal and state regulations.

Key Responsibilities:

  • Analyze inpatient cases and assign ICD-10 diagnostic and PCS procedural codes for reimbursement, research, and compliance.
  • Demonstrate comprehensive knowledge of coding nomenclature to ensure accurate APR-DRG/SOI/ROM and POA assignment.
  • Utilize critical thinking to analyze and evaluate documentation issues with consultation from medical and clinical staff, and clinical documentation specialists as needed.
  • Monitor assigned work on a daily basis to facilitate the billing process within established timeframes.
  • Maintain a high level of accuracy in code assignment to prevent claim denials, billing errors, and potential legal issues.
  • Review medical records, including patient histories, examination findings, diagnoses, and treatment plans, to extract pertinent information for code assignment.
  • Communicate with various departments within the hospital regarding billing and registration issues.
  • Comply with AHIMA standards of ethical coding and coding compliance guidelines, including adherence to HIPAA privacy regulations.

Requirements:

  • High School graduate or equivalent.
  • Formal ICD-10-CM and CPT training required.
  • Associates or Bachelor's degree preferred.
  • At least two years of experience in outpatient coding with a CCS certification (or obtain within one year) required.
  • At least a minimum of one year of inpatient ICD-10-CM/ICD-10-PCS coding and abstracting experience in a hospital setting required.
  • Certification as a Certified Professional Coder (CPC), Certified Inpatient Coder (CIC), or Certified Coding Specialist (CCS) required.

Working Conditions:

This is a light work position that requires exerting up to twenty pounds of force occasionally, and/or up to ten pounds of force frequently, and/or a negligible amount of force constantly to move objects.



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