Inpatient Hospital Coding Specialist III

WVU Medicine; Core (WV); On-site; USD 55,000 - 85,000; Full time

Job summary

SYSTEM West Virginia University Health System is seeking a professional coder to join our HIM Coding Analysis team. The role focuses on inpatient and IRAD coding, DRG assignment, and maintaining accurate hospital documentation for coding and billing.

The ideal candidate has AHIMA or AAPC certification, 3 years of inpatient coding experience, and strong knowledge of ICD-10-CM/PCS and CPT. This is a full-time, on-site position based in West Virginia.

Qualifications

• High School Diploma or Equivalent required.
• Current HIM or Coding Certification through AHIMA or AAPC.
• Three (3) years of inpatient coding or IRAD coding experience.
• Graduate of Health Information Technology (HIT) or equivalent program OR Medical Coding Certification Program.
• Knowledge of ICD-10-CM/ICD-10-PCS and CPT coding, MS-DRG concepts.

Responsibilities

• Codes inpatient and/or IRAD 90% of current FTE status.
• Interprets medical record documentation to assign ICD-10-CM, ICD-10-PCS, CPT or modifiers for diagnoses and procedures.
• Ensures accurate MS-DRG assignments based on coding and documentation.
• Assigns hospital codes to various patient classes (I/P, IRAD, etc.).
• Maintains timely coding, charging and data abstraction for assigned areas.
• Keeps current coding knowledge through reviews, seminars, and updates to manuals.
• Ensures accuracy and timely data for a clean bill.
• Contacts physicians to obtain information for coding as needed.

Education

High School Diploma or Equivalent

Graduate of Health Information Technology (HIT) or equivalent program OR Medical Coding Certification Program

Job description

Welcome! We’re excited you’re considering an opportunity with us! Below, you’ll find other important information about this position.

Minimum Qualifications

• High School Diploma or Equivalent.
• Current HIM or Coding Certification through ONE of the following
• American Health Information Management Association (AHIMA)
• American Academy of Professional Coders (AAPC)

Experience

• Three (3) years of hospital inpatient coding or interventional radiology (IRAD) hospital coding experience.

Preferred Qualifications

• Graduate of Health Information Technology (HIT) or equivalent program OR Medical Coding Certification Program.

CORE DUTIES AND RESPONSIBILITIES:

The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.

• Codes inpatient and/or IRAD 90% of current FTE status.
• Reviews and accurately interprets medical record documentation from all hospital accounts in order to identify all diagnosis and procedures that affect the current inpatient stay or outpatient encounter and assigns the appropriate ICD-10-CM, ICD-10-PCS, CPT, or modifier codes for each diagnosis and procedure that is identified (inpatient and IRAD). Codes highly complex patient classes (inpatient and IRAD).
• Ensures appropriate MS-DRG assignment based on accurate ICD-10-CMand ICD-10-PCS coding assignment and medical record documentation.
• Assigns hospital codes to a variety of patient classes (i.e. I/P, IRAD, etc.).
• Assures that quality and timely coding, charging and abstraction of accounts are completed daily for assigned specialty areas.
• Maintains and enhances current levels of coding knowledge through quality review, attendance and participation at clinical in-services and coding seminars, internal meetings, study of circulating reference materials, and inclusion of updates to coding manuals.
• Assures the accuracy, quality, and timely review of data needed to obtain a clean bill.
• Contacts physicians or any persons necessary to obtain information required for to accurately code assignments. Works and communicates with other offices in any manner necessary to facilitate the billing process.

PHYSICAL REQUIREMENTS:

• Must be able to sit for long periods of time.
• Must have visual and hearing acuity within the normal range.
• Must have manual dexterity needed to operate computer and office equipment.

WORKING ENVIRONMENT:

• Standard office environment.
• Visual strain may be encountered in viewing computer screens, spreadsheets, and other written material.
• May require travel.

Skills And Abilities

• Must be able to concentrate and maintain accuracy during constant interruptions.
• Must possess independent decision-making ability.
• Must possess the ability to prioritize job duties.
• Must be able to handle high stress situations.
• Must be able to adapt to changes in the workplace.
• Must be able to organize and complete assigned tasks.
• Must possess excellent written and verbal communication skills.
• Must possess the knowledge of anatomy, physiology and medical terminology.

Additional Job Description

Scheduled Weekly Hours: 40

Exempt/Non-Exempt

Shift: United States of America (Non-Exempt)

Company: SYSTEM West Virginia University Health System

Cost Center: 548 SYSTEM HIM Coding Analysis