Senior Certified Inpatient Coding Specialist (Remote)

Memorial Hermann Health System; Georgia; À distance; USD 70 000 - 100 000; Plein temps

Résumé du poste

Memorial Hermann Health System is seeking an experienced Coding Specialist to review inpatient records, assign ICD-10-CM/PCS codes, and ensure data completeness for billing and research. You will query physicians when documentation is unclear and stay current with coding guidelines and regulatory requirements.

This role reports to the Coding Manager and supports safe, high-quality patient care. The ideal candidate has 5+ years of inpatient coding experience, RHIT/RHIA/CCS/CIC certifications, and

Qualifications

• Five (5) years of inpatient hospital coding experience required.
• RHIT, RHIA, CCA, CCS, or CIC certification required.
• Strong knowledge of ICD-10-CM and PCS coding.
• Analytical skills to interpret data in health records and assign codes.
• Knowledge of anatomy, physiology and medical terminology.
• Proficient in Windows-based application environments.

Responsabilités

• Reviews medical record documentation to identify diagnoses/procedures needing code assignment for inpatient records and codes using ICD-10 conventions for reimbursement and compliance.
• Reviews records to ensure diagnosis/procedure specificity and appropriate reimbursement.
• Queries physicians when documentation is insufficient or unclear for coding.
• Keeps abreast of coding guidelines and reimbursement reporting guidelines with manager input.
• Assigns ICD-10 codes and DRGs to inpatient records.
• Maintains 92–95% accuracy in ICD-10/DRG assignments and meets productivity standards.
• Adheres to AHIMA Standards and official coding guidelines.
• Ensures safe care and compliance with MH policies, budget, and quality service.
• Promotes professional growth and mentoring within the department.
• Demonstrates compassionate, personalized care aligned with MH service standards.
• Other duties as assigned.

Connaissances

Five years inpatient coding experience

Effective oral and written COMM skills

ICD-10-CM & ICD-10-PCS coding

Analytical skills

Critical thinking

Coding compliance knowledge

Windows-based applications

Formation

High School Diploma or GED

Associates degree in Health Information Management or related field

RHIT

RHIA

CCA

CCS

CIC

Outils

Windows

Description du poste

At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team.

Job Summary

POSITION IS REMOTE BUT YOU MUST MEET QUALIFICATIONS LISTED IN JOB DESCRIPTION. **If you are located outside of the state of Texas -- you must be located in KANSAS, OKLAHOMA, TENNESSEE, LOUISIANA, GEORGIA, SOUTH CAROLINA, NORTH CAROLINA, or be willing to relocate to one of the eligible states (including Texas). ** Responsible for reviewing and abstracting inpatient medical records, as well as, identifying and assigning accurate medical codes for diagnosis, procedures and services in an inpatient setting. The Coding Specialist ensures that all data elements required for federal or state reporting and billing are collected and included in the patient’s demographic record. Typically reports to the Coding Manager.

Job Description

Minimum Qualifications

Education:

High School Diploma or GED required; Associates degree in Health Information Management or any Healthcare Related Field preferred

Licenses/Certifications:

Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Associate (CCA), Certified Coding Specialist (CCS), or Certified Inpatient Coder (CIC) Coding Certification(s) from American Health Information Management Association (AHIMA) or American Association of Professional Coders (AAPC) required.

Experience / Knowledge / Skills:

• Five (5) years of inpatient hospital coding experience required.
• Experience coding in a level 1 trauma facility/academic teaching facility strongly preferred.
• Effective oral and written communication skills.
• Strong knowledge of ICD-10-CM and PCS coding.
• Analytical skills necessary to interpret data contained in the health records and to assign appropriate codes.
• Strong knowledge of human anatomy, physiology, medical terminology and surgical terminology.
• Critical thinking, good judgment and decision making skills.
• Knowledge of coding compliance policies, official coding guidelines, regulatory requirements and internal policies and procedures affecting the coding process.
• Proficient in navigating a Windows-based application environment.

Principal Accountabilities

• Reviews medical record documentation to identify pertinent diagnosis/procedures that require code assignment for inpatient records and accurately code the diagnoses and procedures using ICD-10 coding conventions for the purpose of reimbursement, research, and compliance with federal regulations.
• Reviews the medical record to assure specificity of diagnoses, procedures, and appropriate reimbursement for hospital and professional charges.
• Queries physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes.
• Keeps abreast of coding guidelines and reimbursement reporting guidelines and brings identified concerns to manager for resolution.
• Effectively assigns ICD-10 codes and DRGs to inpatient records.
• Responsible in maintaining 92% to 95% in ICD-10 and DRG assignment and consistently meet established productivity standards while keeping abstracting errors to a minimum.
• Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to official coding guidelines.
• Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.
• Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff.
• Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Memorial Hermann's service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues.
• Other duties as assigned.