Sr Inpatient Coder, FT Remote

University of Maryland Medical System; Baltimore (MD); On-site; USD 70,000 - 95,000; Full time

Job summary

University of Maryland Medical System seeks an experienced inpatient coder to accurately code hospital accounts for reimbursement, research and compliance. You will analyze complex trauma and rehab cases, collaborate with CDI and senior coders, and ensure timely, compliant coding across departments.

Qualifications include a minimum of three years ICD-10-CM/ICD-10-PCS coding, abtracting experience at a Level 1 Trauma/ Rehab hospital, and one of CCS/RHIT/RHIA/CIC credentials.

Qualifications

• Three years ICD-10-CM/ICD-10-PCS coding and abstracting experience at a Level 1 Trauma and Rehab hospital.
• One of CCS, RHIT, RHIA, CIC certifications is required.
• Knowledge of AHIMA standards and coding compliance.

Responsibilities

• Serves as a clinical coding subject matter expert, and analyzes and evaluates documentation issues with consultation from medical staff and CDI as needed.
• Analyzes, codes and abstracts complex inpatient cases such as trauma, rehab, neurology, critical care using ICD-10-CM/PCS to ensure accurate APR-DRG/SOI/ROM and POA assignment.
• Collaborates with senior coders and coding staff to share information and advise on complex cases.
• Monitors daily work to facilitate billing within established timeframes; codes and abstracts records accordingly.
• Maintains coding quality accuracy rate of 90% and productivity rate of 95%.
• Communicates with departments regarding billing and registration issues; composes coding queries and collaborates with CDI; understands PPCs/MHACs/PQI and impact.
• Communicates with the Auditing team to discuss findings and ensure accounts are properly coded for compliance.
• Complies with AHIMA ethical coding standards and coding compliance guidelines.
• Supports UMMS mission and policies and performs other duties or coding corrections as assigned by the manager.

Skills

Analytical skills

Organizational skills

Time management

Communication skills

Education

High School diploma or equivalent; Associate's or Bachelor's in health information or related field preferred

Job description

General Summary

Under direct supervision, accurately codes hospital inpatient accounts for the purpose of appropriate reimbursement, research, statistics and compliance to federal and state regulations in accordance with established ICD-10-CM/PCS coding classification systems.

Job Responsibilities

• Serves as a clinical coding subject matter expert, and utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed.
• Analyzes, codes and abstracts complex inpatient cases such as trauma, rehab, neurology, critical care, etc. utilizing the ICD-10-CM and ICD-10-PCS nomenclature to ensure accurate APR-DRG/SOI/ROM and POA assignment.
• Collaborates with other senior coders (and the other coding staff) with sharing coding information and providing coding advice to colleagues regarding complex cases to be coded.
• Monitors assigned work on a daily basis in order to facilitate the billing process within the established timeframes. Codes and abstracts records within timeframes established for each patient type.
• Maintains coding quality accuracy rate of 90%.
• Maintains productivity rate of 95%.
• Communicates with various departments within the hospitals regarding billing and registration issues. Refers any problems to management timely, providing clear details. Compose appropriate coding queries, work collaboratively with CDI, understand Potentially Preventable Complications (PPC’s)/Maryland Hospital Acquired Conditions (MHAC’s), and Prevention Quality Indicators (PQI’s) and their impact.
• Communicates with the Auditing team to discuss audit findings and working collaboratively in making sure that all accounts are coded appropriately and meet standards of compliance.
• Complies with AHIMA standards of ethical coding and coding compliance guidelines.
• Demonstrates support and compliance with University of Maryland Medical System mission, vision, values statement, goals and objectives and policies. Performs other duties or projects such as coding corrections as assigned by the manager.

Qualifications

• High School graduate or equivalent. Formal ICD-10-CM and CPT training Associates or Bachelor’s degree preferred.
• Minimum of three years ICD-10-CM/ICD-10-PCS coding and abstracting experience with at a Level 1 Trauma and Rehab hospital or 4 years of experience with coding inpatient hospital medical records required.
• One of the following required: Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Inpatient Coder (CIC).

Knowledge, Skills, and Abilities

Strong analytical and organizational skills; filing systems; ability to prioritize workloads; meet deadlines and work effectively under pressure; excellent customer service skills; general office procedures; ability to problem solve and work with minimal supervision; familiar with basic medical terminology; computer experience; typing ability.