Inpatient Medical Coding Specialist

2 weeks ago


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

Job Summary:

The Inpatient Medical Coder will be responsible for accurately coding hospital inpatient accounts for reimbursement, research, statistics, and compliance with federal and state regulations. The ideal candidate will have a strong analytical mind, excellent organizational skills, and the ability to work effectively under pressure.

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 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 with 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, with 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 the ability to exert up to 20 pounds of force occasionally and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects.



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