Coding Specialist III

4 days ago


Maywood, Illinois, United States Loyola University Health System Full time
Job Overview

Loyola University Health System seeks a skilled Coding Specialist III - Complex Outpatient Coder to join our team.

Estimated Salary Range:

$60,000 - $80,000 per year, depending on experience and qualifications.

About the Role

The Coding Specialist III will be responsible for coding accounts with high level technical competency and subject matter expertise. They will analyze physician/provider documentation contained in assigned Complex Outpatient (CO) and/or Inpatient health records to determine the principal diagnosis, secondary diagnoses, principal procedure and secondary procedures.

The successful candidate will provide accurate Medical Severity Diagnostic Related Groups (MS-DRG), Present on Admission (POA), Severity of Illness (SOI) & Risk of Mortality (ROM) assignments for Inpatient records and accurate APC assignments and all required modifiers for Complex Outpatient records.

This role requires strong analytical skills, attention to detail, and the ability to work independently. The ideal candidate will have a deep understanding of coding guidelines established by various organizations, including the Centers for Medicare/Medicaid Services (CMS), American Hospital Association (AHA), American Medical Association (AMA), and American Health Information Management Association (AHIMA).

Key Responsibilities
  • Analyze and code complex medical records according to established guidelines
  • Assign accurate MS-DRG, POA, SOI, and ROM codes for Inpatient records
  • Provide accurate APC assignments and modifiers for Complex Outpatient records
  • Stay up-to-date with coding regulations and guidelines
  • Collaborate with healthcare professionals to ensure accurate coding practices
Requirements

To be successful in this role, you will need:

  • A minimum of 2 years of experience in coding, preferably in a hospital or healthcare setting
  • Strong knowledge of coding guidelines and regulations
  • Excellent analytical and problem-solving skills
  • Ability to work independently and as part of a team
  • High school diploma or equivalent required; associate's or bachelor's degree preferred
Benefits

We offer a comprehensive benefits package, including:

  • Medical, dental, and vision insurance
  • Retirement savings plan
  • Generous paid time off
  • Tuition reimbursement
About Us

Loyola University Health System is a not-for-profit, Catholic healthcare system dedicated to providing high-quality care to our patients. We are committed to diversity, equity, and inclusion in all that we do.



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