Inpatient Coder (Coding Specialist 3)

Ohsu-Psu; Portland (OR); Remote; USD 70,000 - 100,000; Full time

Benefits offered by this job

Remote work

Job summary

OHSU in Portland seeks an experienced Inpatient Coder to support the Enterprise Coding Department. This level 3 coder role requires AHIMA certification and active credential status, with advanced ICD-10 expertise and accuracy targets.

Responsibilities include abstracting inpatient records, assigning codes via 3M 360 and Epic, identifying query opportunities, and ensuring compliance with CMS and Oregon Medicaid rules.

Qualifications

• 4+ years professional or hospital experience reviewing, abstracting, coding in ICD-10-CM/ICD-10-PCS or CPT.
• AHIMA certification required (RHIA/RHIT/CCS).
• Active AHIMA membership is required.

Responsibilities

• Abstract information from inpatient records to assign correct codes per ICD-10 guidelines.
• Ensure 95%+ accuracy in inpatient coding.
• Identify query opportunities and resolve coding denials with leads.
• Verify account details in Epic and code via 3M 360.
• Monitor compliance with CMS and state regulations.
• Communicate coding issues to supervisors and CDI team.

Skills

Inpatient coding

Communication skills

Attention to detail

Team collaboration

Education

AHIMA certification (RHIA/RHIT/CCS)

Active AHIMA membership

Tools

Epic

3M encoder

Excel

Job description

Department Overview

This level 3 coding position provides support to the Enterprise Coding Department for the coding of Inpatient services. The Inpatient Coder position requires certification and active credential status with AHIMA and advanced coding experience in the highly specialized areas of Inpatient coding.

Function/Duties of Position

Coding

• Inpatient Coding at 95% or above accuracy.
• Abstract information from inpatient medical records to assign correct codes following the ICD 10 guidelines.
• Identify query opportunities.
• Verify Account Class, Attending provider, and Discharge Disposition in Epic. Assign codes via 3m 360.
• Resolve with coding leads and billing, any issues, coding denial requests or questions as part of coding denial process.
• Follow team procedures necessary in carrying out ICD 10 coding on cases in the Uncoded IP accounts work queue in Epic.
• Monitor activity for compliance with federal and/or state laws regarding correct coding set forth by CMS and Oregon Medical Assistance program (OMAP).
• Coordinate all billing information and ensure that all information is complete and accurate. (diagnosis codes/poa indicators/procedure codes/procedure dates/provider info/discharge disposition)
• Ability to maintain supportive and open communication with coding supervisors and team leads regarding coding issues and priority coding responsibilities assigned.

Department Support

• Serve as a resource to inpatient coding leadership and coding team for a broad range of billing policy and procedure issues.
• Attend coding meetings and seminars and shares knowledge with other coders.
• In collaboration with Leadership, make recommendations and implement remedial actions for problems.
• Monitor coding and billing information from newsletters, memos, and transmittals from coding publishers and government agencies to advise physicians of billing practice changes in ICD-10.
• Participate in Enterprise Coding education sessions, Kaizen events, maintain CEUs, stay informed of current trends in coding.

Collaboration with CDI

• Identify cases with a CDI reviewer listed in 3M 360.
• Review CDI documentation before coding.
• Effectively communicate with CDI via email.
• Manage emails in a timely manner.
• Other duties as assigned.

Required Qualifications

• High school diploma or GED.
• Minimum of 4 years professional or hospital (depending on position) experience reviewing, abstracting, coding in ICD 10 CM or ICD 10 PCS, or CPT.
• Coding certification from AHIMA: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT),Certified Coding Specialist (CCS) through the American Health Information Management Association (AHIMA).
• Active AHIMA membership is required.

Preferred Qualifications

• Accredited Coding Program, associate or bachelor's Degree; Specialized Coding Credential.
• Knowledge of Inpatient coding guidelines, MCE and compliance edits
• Experience using an EMR.
• Some college course work or education in classes related toanatomy/physiology, medical terminology, ICD-10-CM/PCS coding.
• Experience using EPIC, 3M encoder.
• Proficiency with word processing and Excel spreadsheets.
• Advanced knowledge of ICD-10-CM, Federal Register, Federal and State insurance billing laws and Mandates.
• Excellent verbal and written communication skills with the ability to effectively communicate with individuals at all levels, physicians, nurses, administrative management, etc.
• Ability to work as a team player.
• AHIMA certification required upon hire.
• Must be able to pass internal coding test as a level 3.

Additional Details

• Days of work are Monday through Friday. Weekend work is performed when the Inpatient Coder is making up time or working overtime.
• Once the Monday through Friday schedule is set, it must be adhered to.
• This position is a remote position.

Why apply to OHSU?

We are Oregon's only public academic health center. In addition to caring for patients, we lead groundbreaking research. We also train the next generation of health care professionals. As Portland's largest employer, we give you opportunities to learn and advance in a system of hospitals and clinics across Oregon and Southwest Washington.All are welcome. OHSU welcomes people of all ages, ethnicities, genders, national origins, religions and sexual orientations. We are striving to build an anti-racist, multicultural institution and encourage people with diverse backgrounds to apply. To request reasonable accommodation, contact [e-mail]