Inpatient Coding Specialist II

This is a fully remote position, open to applicants in United States.

📋 Description

• Evaluate medical record documentation and assign precise ICD-10-CM/PCS diagnosis and procedure codes.

• Classify MS-DRG or APR-DRG, assign POA indicators, discharge disposition, and sources of admission.

• Extract necessary data in accordance with facility requirements.

• Oversee Discharged Not Billed accounts and facilitate prompt, compliant inpatient revenue-cycle processing.

• Collaborate with Clinical Documentation Specialists and medical personnel to guarantee complete documentation.

• Uphold coding accuracy, quality, and productivity standards.

• Retrieve missing information and clarify existing documentation as needed.

• Analyze data for suitable reimbursement and adherence to regulatory compliance.

• Utilize Epic, 3M Coding and Reimbursement System, 3M CDIS, 3M Audit Expert, MS Office, and additional software tools.

• Participate in necessary meetings, educational events, and annual training programs.

• Stay informed about CMS requirements, CCI edits, HACs, PSIs, NCDs, and LCDs.

⛳️ Requirements

• High School Diploma or equivalent GED.

• A minimum of five (5) years of progressively responsible and directly related work experience.

• Successful completion of the Coder Proficiency Exam prior to hiring.

• Ability to adhere to the American Health Information Management Association’s Code of Ethics and Standards and apply Uniform Hospital Discharge Data Set (UHDDS) standards.

• Proficient in utilizing ICD-10-CM/PCS and CPT-4 coding conventions; extracting information from medical records; interpreting medical record documentation; and assigning accurate codes for MS-DRG and APR-DRG grouping.

• Familiarity with diagnosis/procedure DRG grouping methodologies such as MS-DRGs and APR-DRGs.

• Understanding of health information systems and computer applications relevant to medical records.

• Knowledge of CCI and CMS compliance matters.

• Proficiency with computer systems and software utilized in this functional area.

• Awareness of standards and regulations related to patient medical records, medical coding systems, medical terminology, anatomy and physiology, and diseases.

• Possession of RHIA, RHIT, or CCS certification.

🏝️ Benefits

• Comprehensive health, dental, and vision insurance.

• Retirement savings plan with employer contributions.

• Opportunities for professional development and continued education.

• Generous paid time off and holiday schedule.

• Supportive work environment with a focus on work-life balance.