Inpatient Coding Specialist
7 days ago
**Job Summary:**
We are seeking an experienced Inpatient Coding Specialist to join our team. This is a challenging and rewarding role that requires a high level of technical expertise and subject matter knowledge in medical coding.
The successful candidate will be responsible for analyzing physician/provider documentation in Inpatient health records to determine the principal diagnosis, secondary diagnoses, principal procedure, and secondary procedures. They will also assign appropriate Medicare Severity Diagnosis Related Groups (MS-DRG), All Patient Refined DRGs (APR), Present on Admission (POA), severity of illness (SOI) & risk of mortality (ROM) indicators for Inpatient records.
The ideal candidate will have extensive experience utilizing encoder software applications, including 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.
This role requires strong critical thinking skills, attention to detail, and the ability to work independently with minimal supervision. The successful candidate will be comfortable functioning in a 100% virtual environment and will be able to exercise independent judgment.
**Responsibilities:**
- Analyze physician/provider documentation in Inpatient health records to determine the principal diagnosis, secondary diagnoses, principal procedure, and secondary procedures.
- Assign appropriate MS-DRG, APR, POA, SOI & ROM indicators for Inpatient records.
- Utilize encoder software applications, including online tools and references in the assignment of ICD-CM diagnosis and procedure codes, MS-DRG, APR DRG, POA, SOI & ROM assignments.
- Work with HIM and Patient Business Services teams to help resolve billing, claims, denial, and appeals issues affecting reimbursement.
- Maintain current knowledge of changes in Inpatient coding and reimbursement guidelines and regulations as well as new applications or settings for Inpatient coding.
**Requirements:**
- Completion of an AHIMA-approved coding program or Associate's degree in Health Information Management or a related field or an equivalent combination of years of education and experience.
- Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS) certification required.
- Three (3) years of current acute care or Inpatient coding experience required. Extensive, comprehensive working knowledge of medical terminology, anatomy, and physiology, diagnostic and procedural coding, and MS-DRG, APR DRG assignment.
- Ability to use a standard desktop/laptop, email, and other Windows applications, if needed, Internet, and web-based training tools preferred.
**Salary Range:** $26.88 - $40.32 per hour.
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