Medical Coder Inpatient

DaMar Staffing; United States; Hybrid; USD 70,000 - 100,000; Full time

Job summary

The University of Michigan is seeking an Advanced Coding Specialist to review medical records and assign ICD-10-CM/PCS codes, MS-DRG/APR-DRG based on payer classification, and abstract data for compliant hospital coding.

You will verify POA indicators, collaborate with the CDI team, and ensure adherence to coding ethics and CMS directives while maintaining quality and productivity standards.

Qualifications

• RHIT or RHIA credential, or pursuing credential with six months to attain.
• Associate degree in HIM or related field; AHIMA guidelines knowledge.
• Strong knowledge of ICD-10-CM/PCS coding and federal regulations.

Responsibilities

• Extract, review, and abstract clinical information for accurate coding and reimburse­ment.
• Assign ICD-10-CM/PCS codes and MS-DRG/APR-DRG based on payer classifications.
• Verify POA indicators and support documentation with CDI team.
• Maintain coding accuracy and compliance with AHIMA and CMS directives.

Skills

ICD-10-CM/PCS coding

AHIMA guidelines

POA/PSI indicators

Medical terminology

Coding ethics

Education

RHIT or RHIA credential

Associate's degree in HIM

Tools

3M 360 Encoder

Encoder/Grouper

Electronic Health Records

Job description

Advanced Coding Position

Advanced coding position that requires review of medical record documentation and accurately assigns ICD-10-CM, ICD-10 PCS, as well as assignment of the Medicare Severity Diagnosis Related Group, (MS-DRG) / All Patient Refined - Diagnosis Related Group, (APR-DRG) based on payor classification and abstracts specific data elements for each case in compliance with federal regulations. This position codes all types of inpatient records and follows the Official Guidelines of Coding and Reporting, the American Health Information Management Association, (AHIMA) Coding Ethics, as well as all American Hospital Association, (AHA) Coding Clinics, CMS directives and bulletins, Fiscal intermediary communications. Utilizes 3M 360 in accordance with established workflow. Follows Michigan Medicine policies and procedures and maintains required quality and productivity standards.

Characteristic Duties And Responsibilities

• Extract, review, and analyze clinical information, identify and abstract all pertinent information and translate data into appropriate codes for hospital billing, POA and PSI indicators, research, statistics, financial planning, compliance and marketing to ensure completeness, accuracy and compliance with established guidelines of all governmental regulatory agencies and third-party payers.
• Reviews medical record documentation and accurately assigns appropriate ICD-10 diagnoses and procedure codes, leading to the assignment of the correct Medicare Severity-Diagnosis Related Group, (MS-DRG) or All Patient Refined Diagnosis Related Group, (APR-DRG.)
• The Inpatient Coding Specialist is responsible for verification of the patient's discharge disposition and to ensure the appropriate present on admission, (POA) indicators are assigned to each code. The assigned codes must support the reason for the visit that is documented by the provider to support the care provided.
• Correctly abstract required data per facility specifications
• Exercise independent judgment on determining cases complexity by utilizing clinical knowledge to understand the etiology, pathology, signs, symptoms, diagnostic studies, treatment modalities and prognosis of diseases and procedures to be coded. Research complex diagnoses and/or procedures as needed to enhance coding knowledge to consistently apply the correct ICD-10-CM and ICD-10-PCS codes
• Captures the correct principal diagnosis, co-existing conditions, and principal procedure for each inpatient admission. Works in collaboration with CDI team to consult with the physicians to clarify or improve documentation for correct coding assignment to ensure correct data reporting and reimbursement and to maintain compliance with Federal and State regulations.
• Responsible for sequencing codes that capture accurate Severity of Illness/Risk of Mortality,
• Interact closely with the Clinical Documentation Specialists and DRG Compliance Auditors to query the medical staff appropriately and professionally to obtain accurate documentation necessary to ensure coding compliance and accuracy. Expand job-related knowledge and skills by attending and participating in in-services and staff meetings. Keep abreast of coding guidelines and quarterly AHA Coding Clinic. Attends required system, hospital and departmental meetings and educational sessions as established by leadership, as well as completion of required annual learning programs, to ensure continued education and growth.
• Responsible to ensure accuracy and maintain established quality, productivity standards, and key performance indicators

Supervision Received

General supervision is received from the Revenue Cycle Coding Supervisor.

Supervision Exercised

None.

Required Qualifications*

• Associate's degree and registration with the American Health Information Management Association as an RHIT or RHIA or Associate's degree and RHIT/RHIA credential-eligible with successful attainment of the credential within six months of hire.
• Certification must be maintained through continuing education.
• Knowledge of medical terminology, anatomy and physiology, treatment methods, patient care assessment, data collection techniques, and coding classification systems.

Desired Qualifications*

• Experience in a major academic medical center and ICD-10-CM/PCS.
• Additional credential of CCS through AHIMA
• Excellent computer skills and previous experience with computer-assisted-coding and encoder/grouper.

Modes Of Work

Positions that are eligible for hybrid or mobile/remote work mode are at the discretion of the hiring department. Work agreements are reviewed annually at a minimum and are subject to change at any time, and for any reason, throughout the course of employment. Learn more about the work modes.

Background Screening

Michigan Medicine conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act. Pre-employment drug testing applies to all selected candidates, including new or additional faculty and staff appointments, as well as transfers from other U-M campuses.

Application Deadline

Job openings are posted for a minimum of seven calendar days. The review and selection process may begin as early as the eighth day after posting. This opening may be removed from posting boards and filled anytime after the minimum posting period has ended.

U-M EEO Statement

The University of Michigan is an Equal Opportunity Employer. We are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants, including protected veterans and individuals with disabilities.