Inpatient Coding Specialist I
3 days ago
Penn Medicine is a leading academic medical center dedicated to delivering exceptional patient care, conducting innovative research, and educating future healthcare professionals. As a HIM Inpatient Coding Specialist I, you will play a vital role in our revenue cycle team, ensuring accurate and timely coding and abstracting of medical records.
Job SummaryThe successful candidate will perform all coding and abstracting by reviewing medical records and selecting the principal diagnosis, secondary diagnoses, principal procedure, and secondary procedures accurately. You will also analyze the DRG assigned to produce the highest level of reimbursement to which the facility is legally entitled according to stringent coding and compliance guidelines.
Responsibilities:- Examine complete medical records to accurately determine the principal & secondary diagnoses, procedures, co-morbidities and complications, demonstrating 95% accuracy as determined by audits.
- Sequence diagnoses & procedures to obtain the optimal DRG or APR-DRG assignment and demonstrate 95% accuracy as determined by monthly audits.
- Simultaneously abstract and enter all coded information into EPIC for timely billing, including correct discharge disposition verified through CRM notes available in PennChart.
- Demonstrate a consistent level of performance, striving to maintain a steady level of productivity according to facility-specific guidelines.
- Refer charts that require clarification of vague or unclear documentation for accurate coding and DRG assignment to a Coding Quality Specialist to query the physician for needed documentation.
- Promptly and accurately assign Coding Hold reasons to all records that cannot be completed immediately due to missing operative notes, pathology reports, physician queries, death reviews, discharge dispositions, or missing other reports.
- Be willing to adjust your schedule to complete workload and meet pivotal revenue cycle deadlines when requested by management, cooperating with departmental work volumes by adjusting your work schedule.
To be considered for this position, you must have:
- A High school diploma or GED (Required).
- Bachelor's of Arts or Science in Health Information Management or a related field (Preferred).
- Up to 1 year of experience or training in coding inpatient medical records (Required).
- Certified Coding Specialist (Preferred) and/or RHIA or RHIT credentials (Preferred).
We offer a comprehensive compensation and benefits program, including one of the finest prepaid tuition assistance programs in the region. Our employees are actively engaged and committed to our mission, working together to make medical advances that help people live longer, healthier lives.
Estimated Salary: $60,000 - $80,000 per year, based on location and experience.
We believe that the best care for our patients starts with the best care for our employees. We are an Equal Opportunity and Affirmative Action employer, considering candidates without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran, or any other status protected by applicable law.
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