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Title: Coding Specialist Inpatient
Location: United States
Job Description
Description
Coding Specialist Inpatient AdventHealth
Medical Coder – HIM Coding
All the benefits and perks you need for you and your family:
Paid Parental Leave
Pet Insurance
Benefits from Day One
Student Loan Repayment Program & Debt-free Education
$5,000 Sign on Bonus*
Our promise to you:
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.
Schedule: Full time
Shift: Monday Friday (8:00am to 4:30pm)
Location: Remote – Virtual
The role you’ll contribute:
The Inpatient Coder is responsible for reviewing, analyzing, and interpreting clinical documentation in the medical record, applying appropriate ICD-10-CM/PCS coding conventions and MS-DRG Medicare Prospective Payment System requirements. Actively participates in outstanding customer service and accepts responsibility for maintaining relationships that are equally respectful to all.
The value you’ll bring to the team:
- Reviews, analyzes, and interprets clinical documentation applying ICD-10 codes in accordance with ICD-10-CM rules and conventions, coding policy and procedures, requirements of Medicare/ payer specifications, and official coding guidelines as outlined by governing bodies. Evaluates and consider various DRG options and optimize them in accordance with UHDDS rules, official coding guidelines, regulatory agencies, and AH-approved policies.
- Verifies CAC codes and that assignment of diagnostic and procedure codes is based on and supported by the physician’s clinical documentation contained within the record.
- Effectively communicates with physicians and allied health personnel the need for comprehensive, accurate, timely clinical documentation.
- Discusses optimization and documentation issues with appropriate physicians and clinical personnel to ensure optimal coding and reimbursement, querying physicians for the clarification of discrepancies, additional diagnoses, complications, or co-morbid conditions present during the admission, on an as-needed basis.
- Applies ICD-10-CM/PCS codes, MS-DRG codes, Present on Admission codes, and patient status codes, with an understanding of how each is used and the impact the accuracy of the data has on mortality rates, clinical quality, reimbursement, internal scorecards, and key quality indicators.
- Utilizes a thorough understanding of the Official Coding Guidelines, Coding Clinic guidance, medical necessity, and coverage determinations.
- Uses critical thinking and sound judgment in decision-making, balancing reimbursement considerations with regulatory compliance.
Qualifications
The expertise and experiences you’ll need to succeed:
EDUCATION AND EXPERIENCE REQUIRED:
- High school diploma and two years of coding education (medical coding certificate program or 2-year HIM program), including medical terminology, anatomy & physiology, and pathophysiology coursework.
- Three or more (3+) years of inpatient hospital coding experience, including cases requiring specialized coding skills, such as cardiovascular surgery, neurosurgery, trauma surgery, neonatology, pediatrics, plastic and reconstruction surgery, bariatric surgery, cardiology, and other services and procedures provided in a tertiary care facility.
- RHIA, RHIT, CCS, or CIC certification