Remote Senior Inpatient Coding Specialist

Texas Health Huguley FWS; Orlando (FL); Remote; USD 60,000 - 80,000; Full time

Job summary

A leading healthcare provider is seeking a Remote Senior Inpatient Coding Specialist to analyze clinical documentation and apply coding conventions. The ideal candidate will have over five years of inpatient coding experience and specialized knowledge in areas like cardiovascular and pediatric coding. Join a dedicated team that values comprehensive patient care and coding excellence.

Benefits

Paid Days Off from Day One

Benefits from Day One

Qualifications

• Five or more years of inpatient hospital coding experience is required.
• Experience in specialized fields such as cardiovascular surgery and pediatrics is preferred.

Responsibilities

• Review and analyze clinical documentation.
• Apply ICD-10-CM/PCS coding conventions.
• Communicate coding issues to physicians.

Skills

ICD-10-CM coding

Clinical documentation analysis

Communication with healthcare personnel

Specialized coding skills

Education

High school diploma and coding education

Job description

Job Description - Remote Senior Inpatient Coding Specialist (25018727)

Overview

Job Description

Benefits

• All the benefits and perks you need for you and your family:
• Benefits from Day One
• Paid Days Off from Day One

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

• Schedule: Full Time

The community you’ll be caring for: AdventHealth Orlando

• Located on a lush tropical campus, our flagship hospital, 1,368-bed AdventHealth Orlando
• Serves as the major tertiary facility for much of the Southeast, the Caribbean and South America
• AdventHealth Orlando houses one of the largest Emergency Departments and largest cardiac catheterization labs in the country
• We are already one of the busiest hospitals in the nation, providing service excellence to more than 32,000 inpatients and 125,000 outpatients each year

The role you’ll contribute

The Inpatient Coder is responsible for reviewing, analyzing, and interpreting clinical documentation in the medical record, applying appropriate ICD-10-CM/PCS coding conventions and MS-DRG Medicare Prospective Payment System requirements. Actively participates in outstanding customer service and accepts responsibility for maintaining relationships that are equally respectful to all.

The Senior Coder demonstrates experience and expertise, so coding quality review is not required before billing. The Senior Coder utilizes years of experience and expertise to demonstrate leadership within the coding section, mentoring others and assisting management in maintaining excellence in coding. Actively participates in outstanding customer service and accepts responsibility for maintaining relationships that are equally respectful to all.

The value you’ll bring to the team

• Verifies CAC codes and that assignment of diagnostic and procedure codes is based on and supported by the physician’s clinical documentation contained within the record.
• Effectively communicates with physicians and allied health personnel the need for comprehensive, accurate, timely clinical documentation.
• Discusses optimization and documentation issues with appropriate physicians and clinical personnel to ensure optimal coding and reimbursement, querying physicians for the clarification of discrepancies, additional diagnoses, complications, or co-morbid conditions present during the admission, on an as-needed basis.
• Applies ICD-10-CM/PCS codes, MS-DRG codes, Present on Admission codes, and patient status codes, with an understanding of how each is used and the impact the accuracy of the data has on mortality rates, clinical quality, reimbursement, internal scorecards, and key quality indicators.
• Utilizes a thorough understanding of the Official Coding Guidelines, Coding Clinic guidance, medical necessity, and coverage determinations.

Qualifications

The expertise and experiences you’ll need to succeed :

EDUCATION AND EXPERIENCE REQUIRED:

• High school diploma and two years of coding education (medical coding certificate program or 2-year HIM program), including medical terminology, anatomy & physiology, and pathophysiology coursework.
• Five or more (5+) years of inpatient hospital coding experience, including cases requiring specialized coding skills, such as cardiovascular surgery, neurosurgery, trauma surgery, neonatology, pediatrics, plastic and reconstruction surgery, bariatric surgery, cardiology, and other services and procedures provided in a tertiary care facility.

LICENSURE, CERTIFICATION, OR REGISTRATION REQUIRED: