Inpatient Coder 2 (H)

University of Miami; United Kingdom; Remote; GBP 45,000 - 55,000; Full time

Job summary

A leading educational institution is seeking a full-time Inpatient Coder 2 (H). This remote role involves reviewing EMR documentation and assigning ICD-10-CM diagnosis and ICD-10-PCS procedure codes. Candidates must have a high school diploma or equivalent, relevant certification, and at least 3 years of coding experience. The role demands attention to detail, analytical, and communication skills, maintaining high productivity and accuracy standards.

Benefits

Competitive salaries

Comprehensive benefits package

Tuition remission

Qualifications

• Minimum 3 years of ICD-10-CM/PCS acute care facility coding experience.
• Ability to work independently with little supervision.
• Proficient in encoder and computer-assisted coding.

Responsibilities

• Review documentation in the electronic medical record (EMR) to assign diagnosis and procedure codes.
• Collaborate with the Clinical Care Transformation team for documentation clarity.
• Maintain coding accuracy and productivity standards of ≥ 95%.

Skills

Attention to detail

Analytical skills

Communication skills

Critical thinking skills

Education

High School Diploma or equivalent

Graduation from an accredited Health Information Technology or Coding program

Certified Coding Specialist (CCS) or Registered Health Information Technician (RHIT)

Tools

EMR software applications

Microsoft Office

Job description

If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this tip sheet .

The Department of Health Information Management (HIM) has an exciting opportunity for a full-time Inpatient Coder 2 (H) to work in remotely. Under the general direction of the Inpatient Coding Manager, the Inpatient Coder 2 (H) reviews documentation in the electronic medical record (EMR) and assigns and sequences ICD-10-CM diagnosis codes and ICD-10-PCS procedure codes in accordance with national coding guidelines. The primary focus of this role is to capture all encounter-specific diagnoses and procedure codes for accurate reimbursement, data collection, and research purposes

Reviews, analyzes, and interprets the entire electronic medical record (EMR) to identify all diagnoses and procedures documented during a patient’s admission.

Determines and assigns the principal diagnosis and all significant secondary ICD-10-CM diagnosis codes, in addition to Present on Admission (POA) indicators and ICD-10-PCS procedure codes, using official coding guidelines and knowledge of anatomy and physiology, medical terminology, and disease processes.

Identifies cases with clinical indicators that require provider documentation, clarification, and/or specificity to accurately assign codes; collaborates with the Clinical Care Transformation (CDI) team as part of the clinical documentation validation and physician query workflow.

Analyzes and sequences codes in compliance with ICD-10 official coding guidelines, Uniform Hospital Discharge Data Set (UHDDS), and other regulatory requirements to assure proper Medicare Severity Diagnostic Related Groups (MS-DRG) assignment.

Reviews medical record documentation for major complications and comorbidities (MCC), complications and comorbidities (CC), severity of illness (SOI), and risk of mortality (ROM).

Maintains coding accuracy and productivity standards of ≥ 95%.

Adheres to University and unit-level policies and procedures and safeguards University assets.

This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.

MINIMUM QUALIFICATIONS

High School Diploma or equivalent and graduation from an accredited Health Information Technology or Coding program

Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), and/or Registered Health Information Administrator (RHIA)

Minimum 3 years of ICD-10-CM/PCS acute care facility coding experience

Skill in completing assignments accurately and with attention to detail.

Ability to analyze, organize, and prioritize workload while consistently meeting ≥ 95% productivity and accuracy standards.

Understanding of and adherence to the Health Insurance Portability and Accountability Act (HIPAA).

Commitment to the University of Miami Health System policies and procedures.

Must stay up to date with continuing education requirements to maintain credentials.

Ability to work independently and/or in a collaborative environment.

Strong background in use of encoder, computer assisted coding, and EMR software applications.

Efficient communication skills (interpersonal, verbal, and written).

Strong organizational and analytical skills.

Critical thinking skills and ability to interpret, assess, and evaluate provider documentation.

Proficient with Microsoft Office applications.

Ability to sit for long periods of time.

Capable of working in a 100% remote environment with little supervision, while also staying focused on assignment tasks.

Any appropriate combination of relevant education, experience and/or certifications may be considered.

The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.

UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.

The University of Miami is an Equal Opportunity Employer - Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here for additional information.

The mission of the University of Miami is to transform lives through education, research, innovation, and service. A vibrant and diverse academic and healthcare community, the University of Miami and the University of Miami Health System ("UHealth") have rapidly progressed to become one of the nation’s top research universities and academic medical centers in the nation.

The University comprises 12 schools and colleges serving undergraduate and graduate students in more than 350 majors and programs. Visit welcome.miami.edu/about-um to learn more about our points of pride.

The University ranks No. 55 on U.S. News & World Report’s 2022 Best Colleges list and ranked No. 49 in the 2022 Wall Street Journal/Times Higher Education College Rankings.

Bascom Palmer Eye Institute is ranked the #1 eye hospital in the USA and offers some of the nation's premiere eye doctors to treat every eye condition for adults. Sylvester Comprehensive Cancer, part of the Miller School of Medicine, received the prestigious National Cancer Institute designation in 2019.

The University of Miami and UHealth have also ranked among the Forbes Best Employers and Best Employers for Women on several occasions, most recently in 2022.

Transforming lives

With more than 17,000 faculty and staff, the University strives for excellence, and is driven by a powerful mission to transform and impact the lives of its students, patients, members of the community, and people across the globe.

The University is committed to fostering a culture of belonging, where everyone feels valued and has the opportunity to add value. Through values of Diversity, Integrity, Responsibility, Excellence, Compassion, Creativity, and Teamwork (DIRECCT) the U community works together to create an environment driven by purpose, excellence, community, and service.