Sr Coding Specialist Inpatient Telecommute

Brown University Health; Providence (RI); Remote; USD 60,000 - 90,000; Full time

Job summary

An established industry player is seeking a Senior Coding Specialist to join their team. In this role, you will be responsible for reviewing inpatient clinical documentation and assigning appropriate ICD-10 CM/PCS codes to ensure compliance with coding standards. You will work with various service lines and engage with the Clinical Documentation Integrity team to enhance coding accuracy. This position offers the opportunity to contribute to high-quality clinical data reporting and participate in a collaborative environment focused on excellence. If you have a passion for coding and a keen eye for detail, this role is perfect for you.

Qualifications

• Proficient in inpatient coding and clinical documentation review.
• Strong understanding of ICD-10 CM/PCS coding guidelines.

Responsibilities

• Review inpatient medical records to assign correct ICD-10 CM/PCS codes.
• Collaborate with Clinical Documentation Integrity team for accuracy.

Skills

ICD-10 CM/PCS Coding

Clinical Documentation Review

3M 360 Encompass System

Coding Compliance

Communication Skills

Education

Certified Coding Specialist (CCS)

Bachelor's Degree in Health Information Management

Tools

3M 360 Encompass

Job description

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Summary

The senior coding specialist reports to the Manager of Hospital Coding for Brown University Health Corporate Services. Under general supervision and within hospital and departmental policy, the senior inpatient coding specialist reviews inpatient clinical documentation to extract data and assign appropriate codes in accordance with the inpatient ICD-10 CM/PCS Official Guidelines for Coding and Reporting. This covers various inpatient scenarios across multiple service lines, including complex long-stay and high-dollar cases throughout all Brown University Health affiliates. The role involves determining appropriate code assignments for accurate and compliant clinical data reporting standards.

Responsibilities

• Reviews inpatient medical records across multiple service lines to accurately identify all treated diagnoses and procedures, reporting the correct ICD-10 CM/PCS codes in accordance with official coding guidelines.
• Enters all coded/abstracted information utilizing the 3M 360 Encompass system to ensure accurate MS-DRG or APR-DRG assignment.
• Ensures medical record documentation supports the codes for principal diagnosis, secondary diagnoses, complications, co-morbid conditions, procedures, and discharge disposition. Recognizes when a physician query is needed.
• Works collaboratively with the Clinical Documentation Integrity team.
• Identifies and recommends physician queries when documentation is incomplete, ambiguous, or unclear.
• Maintains coding accuracy and productivity standards. Follows up on bill holds/deferred claims to ensure timely billing and reimbursement.
• Reviews and processes coding validation/audit recommendations promptly.
• Participates in team meetings to enhance functional excellence. Prepares compliant physician queries with good writing skills.
• Adheres to the