Certified Inpatient Coding Specialist CCS

Mount Sinai Medical CenterMiami Beach, FL
Remote

About The Position

Mount Sinai Medical Center is seeking an experienced Inpatient Coding Specialist for a fully remote role based in Florida. The specialist will be responsible for accurately coding and abstracting inpatient medical records using ICD-10-CM and ICD-10-PCS, maintaining a minimum 95% accuracy rate. This role involves reviewing clinical documentation, assigning codes, validating autosuggested codes, and completing detailed chart abstracts while meeting productivity standards of 2.5 charts per hour. Proficiency in Epic and 3M 360 Encompass encoder is required, as is the ability to write compliant physician queries. The specialist must stay updated on Coding Clinic guidance, official coding guidelines, and internal audit requirements, ensuring timely processing of emails and EPIC work queues, and completing ongoing continuing education to support coding competency.

Requirements

  • RHIA Or RHIT Or CCS REQUIRED
  • Associates degree in Health Information Management or completion of Coding Specialist Prog or equivalent years of work experience.
  • 2 years of coding ICD10-CM/PCS
  • FLORIDA RESIDENCY REQUIRED

Nice To Haves

  • Proficient in writing compliant physician queries.

Responsibilities

  • Performs coding and abstracting on inpatient charts by accurately assigning ICD-10-CM and PCS codes.
  • Assigns correct ICD-10CM/PCS codes and POA’s to reflect the appropriate DRG, SOI, ROM, with an accuracy rate of 95% or greater.
  • Performs abstracting of coding and clinical data (I.e. discharge disposition, discharge date, patient type, etc..) with an accuracy rate of 95% or greater.
  • Applies knowledge of disease process, anatomy, and physiology, medical terminology and pharmacology when assigning ICD-10-CM diagnoses codes.
  • Processes emails, Smarts, CDI, internal/external audits daily within a 24 to 48 hour response time.
  • Selects the principal diagnosis and principal procedure, along with other diagnoses and procedures using UHDDS definitions with a high level of coding accuracy rate.
  • Continually updates knowledge of all coding and reimbursement guidelines and regulations, including but not limited to ICD-10-CM Guidelines for Coding and Reporting.
  • Maintains current knowledge of the information contained in Coding Clinic and the Official Guidelines for Coding and Reporting.
  • Is proficient in using Epic and 3m 360 Encompass encoder.
  • Is able to write appropriate physician queries.
  • Refers queries to physicians and questions to supervisors as appropriate, complying with all internal audit requirements, (i.e. review charts for Complication/Cormorbidity compliance).
  • Confirms the accuracy of autosuggested codes by utilizing the evidence review buttons.
  • Completes 30 hours of Continued Education annually.

Benefits

  • Health benefits
  • Life insurance
  • Long-term disability coverage
  • Healthcare spending accounts
  • Retirement plan
  • Paid time off
  • Pet Insurance
  • Tuition reimbursement
  • Employee assistance program
  • Wellness program
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