Inpatient Medical Coder 4

The Ohio State University Wexner Medical Center; Ohio; On-site; USD 55,000 - 75,000; Full time

Job summary

The Ohio State University Wexner Medical Center is seeking a Lead Medical Records Coding Specialist to train and support new coding staff. You will audit inpatient and outpatient records, ensure coding policies reflect practice, and maintain data integrity in the electronic medical record, IHIS Resolute.

Responsibilities include coding at the conclusion of patient visits, selecting appropriate diagnoses and procedures, and abstracting admission details.

Qualifications

• 2-Year College Degree in Health Information Management or equivalent combination of education and experience.
• Associate Degree in Health Information Management or other qualifying associate degree in health care.
• RHIA, RHIT, CCS, COC with CHONC certification (AHIMA) or CPC with CHONC.
• Minimum of two years of academic medical coding experience.
• 4 years of relevant experience required; 6+ years preferred.

Responsibilities

• Train and support new medical record coding specialists.
• Audit coding of records and ensure policy compliance.
• Ensure integrity of information in the electronic medical record (IHIS Resolute).
• Code medical records and other documents after patient visits.
• Select diagnoses and procedures, assign ICD-9/ICD-10/CPT-4 codes and abstract required data.

Education

Associate Degree in Health Information Management

2-Year College Degree or equivalent in Health Information Management

Job description

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Coding services assigns diagnosis and procedural codes to inpatient and outpatient medical records to facilitate the reimbursement and data collection for the individual business units of the OSU Health System. ICD-9-CM and ICD-10-CM/PCS diagnoses and procedure codes are applied to inpatients and CPT-4 procedure codes are applied to all outpatients treated within the OSU Health System that are not captured through the charge description master. Medical record abstract data is assigned based on information reviewed for accuracy in IHIS during the coding process. This position is responsible for training medical record coding specialists and coding some or all the following types of records: inpatient, emergency department, ambulatory surgery, Talbot, outpatient clinic, pain block and ancillary areas. The Lead Medical Records Coding Specialist will also participate in hospital’s trauma registry.

Position Summary

The position is responsible for training and supporting new medical record coding specialists. The Lead Coder’s responsibilities also include auditing the coding of records, assuring inpatient and outpatient coding policies and procedures reflect practice, ensuring the integrity of information in the electronic medical record, and monitoring completion of coding activities. This position also codes medical records and other documents at the conclusion of the patient’s visit. This requires selection of appropriate admitting diagnosis, principal and secondary diagnoses, principal procedure and secondary procedures; assigning accurate ICD-9, ICD-10 and/or CPT-4 codes; sequencing the diagnoses and procedures codes; and abstracting information including admission source, type, disposition, admitting, attending and procedure attending physicians. Codes are selected in the Encoder Software following review of information in the electronic medical record system, IHIS. Information abstracted and coded is interfaced to IHIS Resolute.

Minimum Education Required

2-Year College Degree in Health Information Management or equivalent combination of education and experience

Required Qualifications

Associate Degree in Health Information Management or other qualifying associate degree in health care or minimum two years of daily hospital coding production specific to the area of discipline (i.e. inpatient coding or outpatient coding). Accredited as a Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS) by the American Health Information Management Association, or Certified Outpatient Coder (COC) by AAPC or CPC with CHONC. Minimum of two years academic medical coding experience. 4 years of relevant experience required. 6 or more years of relevant experience preferred.

FUNCTION: Health Information Management

SUB-FUNCTION: Inpatient Medical Coding

CAREER BAND: Individual Contributor - Technical

CAREER LEVEL: 4

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Thank you for your interest in working at Ohio State.

Final candidates are subject to successful completion of a background check. A drug screen or physical may be required during the post offer process.

The university is an equal opportunity employer, including veterans and disability.