Inpatient Coder III

Summary

• Position Summary
• ***Fully remote working position
• This the third level of a 4-tier career path. Under the general direction of the Inpatient Coding Manager or Director, this position is responsible for identifying and accurately assigning ICD-10-CM diagnostic and ICD-10-PCS procedural codes after thorough review of physician documentation; and abstracts demographic and clinical information for inpatient records for the purpose of data collection, reimbursement, research and compliance with state and federal regulations and other agencies utilizing established coding principles and protocols.
• Coding staff at this level are able to code both IPPS (Inpatient Prospective Payment System) and CAH (Critical Access Hospital) acute care, swing bed and psychiatric facilities; including multiple specialties (newborn, obstetrics, internal and hospital medicine, pediatrics, neurology, general surgery, oncology and psychiatry - not an exhaustive list), as well as mentor.
• This position is differentiated from the Coder II level by the skill and the critical thinking required to handle complex inpatient coding scenarios. Coded data is reported to meet licensure requirements, for statistical purposes as well as reimbursement purposes.
• Required Minimum Knowledge, Skills, and Abilities (KSAs)
  • Education: Associates Degree in Health Information Management and/or Bachelors' Degree in Health Information Management, or other science-based degree such as nursing preferred.
  • License/Certifications: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Registered Nurse (RN), Certified Inpatient Coder (CIC), Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) required.
  • Experience: Minimum of 1-2 years' experience as an inpatient coder at an acute care or academic teaching facility required or successful completion of inpatient coding apprenticeship program.
  • Proficiencies: Advanced coding skills and knowledge; Understanding of revenue cycle processes, inpatient, billing requirements, EMR usage, EPIC preferred; 3M Coding and Reimbursement System; effective communication skills (verbal and written), ability to serve as a resource and mentor regarding on coding and compliance issues. Demonstrates ability to work effectively and collaboratively with Clinical Documentation Improvement Specialists (CDIS) and other healthcare professionals.
  • Specialized Knowledge: knowledge of ICD-109-CM/PCS Official Guidelines for Coding and Reporting, AHA Coding Clinic and relevant CMS regulations; comprehensive knowledge of disease processes, medical terminology, anatomy & physiology, pathophysiology, and clinical documentation theory.

Additional Information

With a career at any of the MaineHealth locations across Maine and New Hampshire, you'll be working with health care professionals that truly value the people around them - both within the walls of the organization and the communities that surround it.

We offer benefits that support an individual's needs for today and flexibility to plan for tomorrow - programs such as paid parental leave, a flexible work policy, student loan assistance, training and education, along with well-being resources for you and your family. MaineHealth remains focused on investing in our care team and developing an inclusive environment where you can thrive and feel supported to realize your full potential. If you're looking to build a career in a place where people help one another deliver best-in-class care, apply today.

Additional Information

MaineHealth is a health system whose members and affiliates include hospitals, physician practices, long-term care facilities, home care agencies, and support services. Learn more about this system at www.mainehealth.org

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