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We are seeking a Medical Coding Specialist II - Inpatient to:
- Determine and assign ICD-10-CM diagnosis codes, in addition to present on admission indicators, and ICD-10-PCS procedure codes, using official coding guidelines and knowledge of anatomy and physiology, pharmacology and pathophysiology/disease processes.
- Identify cases with clinical indicators that may require provider documentation clarification and/or specificity in order to accurately assign codes; collaborate with CDIS team as part of the clinical documentation validation and physician query workflows.
Minimum - High School Diploma or equivalent AND Graduate of a Medical Coding Program.
Preferred - Graduate of a Health Information Technology program.
Minimum - Two years of progressive inpatient facility coding experience.
Preferred - Two or more years of inpatient facility coding experience in an Academic Medical Center and/or Level 1 Trauma Center.
Licenses and Certifications:
Minimum - Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA)
Preferred - Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA)
Required Skills, Knowledge, and Abilities:
- Knowledge of, but not limited to, current Official Coding Guidelines and methodologies, MS-DRGs, APR-DRGs, the ICD-10-CM/PCS coding systems and conventions.
- Extensive knowledge of medical terminology, anatomy and pathophysiology, pharmacology and ancillary test results.
- In-depth knowledge of complex medical and coding concepts encountered in an Academic Medical Center.
- Knowledge of coding systems and regulatory requirements of Inpatient Prospective Payment System (IPPS).
- Proficiency with encoder software and other coding applications/tools.
- Strong communication skills (interpersonal, verbal and written).
- Serve as a subject matter expert to Clinical Documentation Improvement Specialists, colleagues and clinicians.
- Strong organizational and analytical thinking skills.
- Demonstrates critical thinking skills, and ability to interpret, assess, and evaluate provider documentation.
- Proficient with Microsoft Office applications (Outlook, Word, Excel).
- Self-motivated and demonstrated capacity to work independently without close supervision. This position has the potential to work remotely.
- Must be able to work flexible hours which may include weekends as required to meet business needs.
- Ability to quickly analyze a situation, problem solve and prioritize.
- Familiarity with the external reporting aspects of healthcare.
- Knowledge of external auditing programs; ex.: Recovery Audit Contractor (RAC), Office of the Inspector General (OIG), third-party payors.
Sedentary: Ability to lift up to 10 pounds maximum and occasionally lifting and/or carrying such articles as dockets, ledgers and small tools. Although a sedentary job is defined as one, which involves sitting, a certain amount of walking and standing is often necessary in carrying out job duties. Jobs are sedentary if walking and standing are required only occasionally and other sedentary criteria are met.
This is a full-time, 1.0 FTE position that is 100% remote. Applicants hired into this position can work from most states. This will be discussed during the interview process.