Inpatient Coding Specialist - ICD-10, DRG & Audits

Westchester Medical Center; City of Kingston (NY); Remote; USD 54,000 - 76,000; Full time

Job summary

Westchester Medical Center is seeking a Medical Records/HIM professional to code inpatient and outpatient records, review for ICD-10-CM/PCS and CPT-4 codes, and ensure accurate DRG capture. The role requires collaboration with physicians and participation in coding audits to uphold data quality.

Qualifications include 1+ year of experience in a Medical Records/HIM setting, an associate degree or better, and familiarity with Paragon and U.D.S. systems; ongoing certifications are preferred.

Qualifications

• 1+ year experience in Medical Records/HIM Department or related healthcare experience.
• Associate's Degree in Medical Records Technology, Nursing, or related field preferred.
• Medical Terminology and Coding courses required; advanced terminology knowledge preferred.

Responsibilities

• Review medical records for appropriate ICD-10-CM diagnosis code(s) and identify principal and secondary diagnoses.
• Review records for ICD-10-PCS procedures and CPT-4 codes as applicable.
• Abstract and enter data in U.D.S. and Paragon; assist and verify data entry accuracy.
• Evaluate DRG to ensure appropriate cc capture when applicable.
• Maintain professional rapport with physicians and clarify coding/clinical issues as needed.
• Participate in coding audits/PI monitors and develop corrective action plans with Coding Manager.

Skills

Automated coding/abstracting systems

Attention to detail

Physician collaboration

Education

Associate's Degree in Medical Records Technology or related field

High School Diploma or Equivalent

Tools

Paragon system

U.D.S.

Job description

Westchester Medical Center is seeking a Medical Records/HIM professional to code inpatient and outpatient records, review for ICD-10-CM/PCS and CPT-4 codes, and ensure accurate DRG capture. The role requires collaboration with physicians and participation in coding audits to uphold data quality.

Qualifications include 1+ year of experience in a Medical Records/HIM setting, an associate degree or better, and familiarity with Paragon and U.D.S. systems; ongoing certifications are preferred.