Inpatient Coding Specialist (Remote)

UHHS_Coding; Shaker Heights (OH); Remote; USD 65,000 - 90,000; Full time

Job summary

University Hospitals is seeking an Inpatient Coding Specialist to work remotely. You will encode inpatient records using ICD-10-CM/PCS and ensure compliance with CMS and UH guidelines.

Responsibilities include accurate coding, DRG assignment, maintaining productivity, and collaborating with the CDI team. A HIM-focused degree is required, with CPC/CCS/RHIT/RHIA/CIC certifications to be obtained upon hire.

Qualifications

• Requires 1+ year ICD-10-CM/PCS coding experience.
• Proficient in medical terminology, anatomy/physiology, and pharmacology.
• Compliance with AHIMA Standards and PHI security.

Responsibilities

• Code inpatient records with ICD-10-CM/PCS per CMS and hospital guidelines.
• Assign DRGs and ensure accuracy of POA, CC/MCC impact.
• Maintain productivity and quality within department standards.
• Abide by coding policies and CDI reconciliation processes.
• Collaborate with Clinical Documentation Integrity Team and physicians.

Skills

Medical terminology

Time management

Analytical skills

Team player

Communication

Education

Associate's Degree in HIM

Bachelor's Degree (Preferred)

Tools

3M Encoder

Epic

MS Office

Job description

Job Description - Inpatient Coding Specialist (Remote) (260008UR)

A Brief Overview

Responsible for accurately and timely coding of inpatient medical records following established coding, CMS regulations and hospital guidelines. Accurately codes diagnostic and procedural information following coding guidelines and regulations information including, facility specific guidelines and federal regulations.

What You Will Do

• Reviews low to moderate complex medical records to assign diagnostic ICD-10-CM and or ICD-10-PCS codes according to established coding, CMS, and hospital guidelines (95%)
• Coding Technical Skills- ICD-10-CM, ICD-10-PCS, MS-DRG's, APR DRGs, ROM, SOI, and POA assignment.
• Understanding of CC's, MCC's, HCC's, impact on quality reporting, HAC's and PSI's
• Maintains productivity and quality rate according to established standards.
• Works within UH billing time frames.
• Maintains coding knowledge and skills via written coding resources, clinical information and educational webinars. Maintains knowledge of guidelines and regulations affecting the UHHS Coding Department. Maintains up to date credentials.
• Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA).
• Abstracts selected data items and enters in 3M encoder/Epic software with accuracy and attention to detail.
• Follows facility query policy and CDI reconciliation process.
• Utilizes critical thinking/problem solving processes.
• Collaborates with and supports the Clinical Documentation Integrity Team.
• Demonstrates effective time management skills by completing assignments within time constraints and calendar schedule.

Additional Responsibilities

• Participates in educational and informational activities.
• Performs other duties as assigned.
• Complies with all policies and standards.
• For specific duties and responsibilities, refer to documentation provided by the department during orientation.
• Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.

Education

• Associate's Degree preferably in HIM (Required)
• Bachelor's Degree (Preferred)

Work Experience

• 1+ years Of ICD-10-CM and ICD-10-PCS coding experience (Preferred)

Knowledge, Skills, & Abilities

• Medical terminology, anatomy/physiology, pathophysiology and pharmacology knowledge. (Required proficiency)
• Detail-oriented and organized, have excellent time-management skills, and have good analytical and problem solving ability. (Required proficiency)
• Notable client service, communication, presentation and relationship building skills. (Required proficiency)
• Ability to function independently and as a team player in a fast-paced, demanding work environment. (Required proficiency)
• Must have strong written and verbal communication skills. (Required proficiency)
• Demonstrated ability to use PCs, Microsoft Office suite, and general office equipment (i.e. printers, copy machine, FAX machine, etc.). Must be able to proficiently work within with multiple systems. (Required proficiency)

Licenses and Certifications

• Certified Professional Coder (CPC) (Required Upon Hire) or
• Certified Coding Specialist (CCS) (Required Upon Hire) or
• Registered Health Information Technologist (RHIT) (Required Upon Hire) or
• Registered Health Information Administration (RHIA) (Required Upon Hire) or
• Certified Inpatient Coder (CIC) (Required Upon Hire)