Inpatient Coding Quality Assurance Lead

MedStar Health’s Washington Hospital Center; Maryland; On-site; USD 43,000 - 78,000; Full time

Job summary

MedStar Health seeks an experienced Inpatient Coding Quality Review Specialist to join our Quality Assurance team in Maryland. Candidates must hold an AHIMA CCS and have inpatient coding and auditing experience.

The role validates ICD-10-CM/PCS codes, POA indicators, and discharge disposition, with responsibilities spanning quality indicators and mortality reviews. Excellent communication and collaboration with coding staff are essential.

Qualifications

• Excellent verbal and written communication skills.
• Excellent interpersonal skills.
• Strong computer skills preferred.

Responsibilities

• Assists with the development of system-specific coding guidelines as needed and participates in Quality review team meetings.
• Uses knowledge of coding compliance plan to direct efforts to achieve plan by focusing on areas identified through coding reviews or targeted by management for improvement.
• Helps select areas for focused quality reviews.
• Meets established Quality, Accuracy and Productivity standards as defined by policies.
• Provides/identifies trends to provide feedback to appropriate sources. Identifies and assists in areas to provide additional training/education under the direction of Manager.
• Queries the medical staff and other caregivers as necessary to obtain accurate and complete physician documentation that supports the severity of the patient illness and risk of mortality
• Performs retrospective reviews on coding staff. Reviews, analyzes and interprets medical record documentation to identify diagnoses and procedures. Assigns correct ICD 10-CM and ICD 10-PCS codes using standard guidelines and automated encoding software. Assigns the appropriate DRG.
• Works closely with the Coding Quality Review team to identify areas for improvement and problematic cases.

Skills

Verbal communication

Written communication

Interpersonal skills

Computer skills

Education

High School Diploma or GED

Associate in Health Information Management / Health Information Technology

Job description

MedStar Health seeks an experienced Inpatient Coding Quality Review Specialist to join our Quality Assurance team in Maryland. Candidates must hold an AHIMA CCS and have inpatient coding and auditing experience.

The role validates ICD-10-CM/PCS codes, POA indicators, and discharge disposition, with responsibilities spanning quality indicators and mortality reviews. Excellent communication and collaboration with coding staff are essential.