Hospital Outpatient Coding - Certified Coding Specialist (Full-time, Monday - Friday, 8am-5pm)

Washington-Regional-Medical-Center; Fayetteville (AR); On-site; USD 60,000 - 80,000; Full time

Job summary

Washington-Regional-Medical-Center is seeking a Certified Coding Specialist to apply ICD-10-CM/ICD-10-PCS codes to patient records and support accurate MS-DRG assignments. The role collaborates with CDS and physicians to validate documentation and improve coding quality.

The successful candidate will hold RHIA/RHIT/CCS/CIC/CPC credentials, have at least 6 months coding experience, and prefer 2+ years inpatient coding experience.

Qualifications

• Abstract pertinent information from patient records into the appropriate computer system for statistical and billing purpose.
• Assign the correct ICD-CM, ICD-PCS, discharge disposition, MS-DRG group assignments and other data as applicable.
• Coordinate with CDS and physicians to validate documentation to support accurate coding.

Responsibilities

• Abstract information from patient records into the computer system for billing and statistical purposes.
• Assign ICD-CM/ICD-PCS, discharge disposition, and MS-DRG group assignments.
• Collaborate with Clinical Documentation Improvement teams to ensure documentation supports ROM, SOI, and DRG accuracy.
• Query physicians when documentation or coding is unclear or inadequate.

Education

High School Diploma or GED

RHIA

RHIT

CCS

CIC

CPC

Job description

Position SummaryThe role of the Coding Specialist – Certified reports to the Coding Manager. This position is responsible for the application of the appropriate diagnostic and procedural codes to individual patient medical records for data retrieval, analysis and claims processing.Essential Position ResponsibilitiesAbstract pertinent information from patient records into the appropriate computer system for statistical and billing purpose; assigns the correct ICD-CM, ICD-PCS, discharge disposition, MS-DRG group assignments and other data as applicableCoordinate with the clinical documentation and quality teams to ensure validation of Medicare Severity Diagnosis Related Group (MSDRG), patient safety indicators, and hospital acquired conditions are supported by physician documentation to support appropriate codingWorks with Clinical Documentation Specialists (CDS) and physicians to identify and address documentation improvement needs that support accurate code, Risk of Mortality (ROM), Severity of Illness (SOI), and DRG assignmentQuery physicians if there are discrepancies in the code assignment or documentation in the electronic medical record is inadequateRemain knowledgeable of current coding guidelines, reimbursement, and reporting requirementsEnsure coding accuracy rate is met as established by department goals and objectivesQualificationsEducation: High School Diploma or GEDLicensure and Certifications: RHIA, RHIT, CCS, CIC, CPC, required.Experience: Minimum of 6 months of coding experience, required. Minimum 2 years inpatient coding experience, preferred. Experience with Clinical Documentation Improvement programs and clinical validation, preferred. Working knowledge of quality metrics and risk adjustment coding impacts, preferred.Work Environment: This position will spend 80% of time sitting while performing work in a standard office environment. This position will spend 20% of time standing and/or walking while pushing, pulling, lifting, and/or carrying up to 50 lbs.QualificationsEducation: High School Diploma or GEDLicensure and Certifications: RHIA, RHIT, CCS, CIC, CPC, required.Experience: Minimum of 6 months of coding experience, required. Minimum 2 years inpatient coding experience, preferred. Experience with Clinical Documentation Improvement programs and clinical validation, preferred. Working knowledge of quality metrics and risk adjustment coding impacts, preferred.