Lead Inpatient Coding Specialist

2 weeks ago


Baltimore, Maryland, United States The University of Maryland Medical System Full time
Position Title: Lead Inpatient Coding Specialist (Remote - Full Time)

Work Schedule:
Day Shift

Job Location:
Medical Center

Employment Type:
Non-Exempt

The University of Maryland Medical System (UMMS) is a comprehensive network of 14 hospitals providing a wide range of academic, community, and specialized medical services across Maryland and beyond.

As a prominent national and regional referral center, UMMS excels in trauma, cancer care, neurocare, cardiac services, women's and children's health, and physical rehabilitation.

With a strong presence in the Baltimore metropolitan area, UMMS stands as the fourth largest private employer and ranks among the top 20 employers in the state of Maryland.

Joining our team means gaining unparalleled clinical diversity, robust support, and exceptional opportunities for professional advancement.


I. Overview:

Under direct supervision, the Lead Inpatient Coding Specialist is responsible for accurately coding hospital inpatient accounts to ensure appropriate reimbursement, compliance with federal and state regulations, and the integrity of research and statistical data, utilizing established ICD-10-CM/PCS coding classification systems.


II. Key Responsibilities:

The following responsibilities outline the essential functions of this role:

  1. Act as a clinical coding subject matter expert, employing critical thinking to assess and resolve documentation challenges in collaboration with medical and clinical staff, as well as clinical documentation specialists.
  2. Analyze, code, and abstract intricate inpatient cases, including trauma, rehabilitation, neurology, and critical care, utilizing ICD-10-CM and ICD-10-PCS nomenclature to guarantee precise APR-DRG/SOI/ROM and POA assignments.
  3. Engage in collaboration with fellow senior coders and coding staff to share insights and provide guidance on complex coding scenarios.

III. Qualifications:

Education and Experience:

  • High School diploma or equivalent required.
  • Formal training in ICD-10-CM and CPT is essential; an Associate's or Bachelor's degree is preferred.
  • A minimum of three years of experience in ICD-10-CM/ICD-10-PCS coding and abstracting within a Level 1 Trauma and Rehabilitation hospital, or four years of experience coding inpatient hospital medical records is required.

Certifications:

One of the following certifications is mandatory:

  • Certified Coding Specialist (CCS)
  • Registered Health Information Technician (RHIT)
  • Registered Health Information Administrator (RHIA)
  • Certified Inpatient Coder (CIC)

IV. Skills and Competencies:

The ideal candidate will possess:

  • Strong analytical and organizational abilities.
  • Proficiency in filing systems and the capacity to prioritize tasks effectively.
  • Ability to meet deadlines and perform well under pressure.
  • Excellent customer service skills and familiarity with general office procedures.
  • Problem-solving capabilities and the ability to work independently.
  • Basic medical terminology knowledge and computer proficiency.
  • Typing skills.

All candidate information will be treated confidentially in accordance with EEO guidelines.



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