Inpatient Coding Specialist
3 weeks ago
This role focuses on activities related to revenue cycle operations, including billing, collections, and payment processing. Additionally, this position involves performing Health Information Management duties, such as ensuring the accuracy, maintenance, security, and confidentiality of patient health information.
Key Responsibilities- Reviews medical records to assure accurate specificity of diagnoses and procedures for inpatient admissions.
- Effectively utilizes ICD-10 CM and PCS codes according to coding guidelines.
- Communicates effectively with providers and/or all appropriate staff regarding missing information, such as diagnosis, procedure, and documentation issues, to ensure proper coding and reimbursement.
- Manages the creation of deficiencies within Epic for missing documentation.
- Works with leadership to review denial reports and participates in internal and external audits to ensure documentation, code capture, and billing are accurate and precise.
- High school diploma or equivalent.
- Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC), Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT).
- Three (3) years of ICD-10-CM and PCS coding experience.
- EMR experience.
- Associates degree.
- Five (5) years of Inpatient ICD-10-CM and PCS coding experience within a Teaching hospital or Level One Trauma Center.
- Epic and CAC Experience.
Sedentary role which requires sitting most of the time, occasional standing & walking. Mental requirements will be intense at times with involvement in many concurrent multi-faceted projects.
Skills & Abilities- Excellent organizational skills and able to balance working on multiple tasks and provide timely follow through.
- Effective interpersonal and communication skills.
- Ability to work under pressure and meet deadlines.
- Ability to communicate verbally, by phone or virtually, with colleagues and medical staff.
- Knowledge of Excel and basic computer skills.
Tufts Medicine is a leading integrated health system bringing together the best of academic and community healthcare to deliver exceptional, connected and accessible care experiences to consumers across Massachusetts.
We are an equal opportunity employer and value diversity and inclusion at Tufts Medicine. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.
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