Certified Inpatient Coding Specialist CCS

Mount Sinai Medical Center•Miami Beach, FL

13d•Remote

About The Position

Mount Sinai Medical Center is hiring an experienced Inpatient Coding Specialist for a fully remote role requiring Florida residency. The specialist codes and abstracts inpatient medical records using ICD-10-CM and ICD-10-PCS, with accuracy of at least 95%, and meets a productivity standard of 2.5 charts per hour. The role includes reviewing clinical documentation, assigning and validating codes, completing chart abstracts, and writing compliant physician queries. The specialist maintains current knowledge of official coding guidance, Coding Clinic updates, reimbursement rules, and internal audit requirements. Daily work also includes timely processing of emails and EPIC work queues, with ongoing continuing education to maintain coding competency.

Requirements

Florida residency is required.
RHIA, RHIT, or CCS certification is required.
Associate degree in Health Information Management, completion of a Coding Specialist Program, or equivalent years of work experience.
Two years of ICD-10-CM/PCS coding experience.
Ability to meet a minimum 95% coding and abstracting accuracy rate.
Ability to meet the productivity standard of 2.5 charts per hour.
Proficiency with Epic and the 3M 360 Encompass encoder.
Ability to write compliant physician queries.

Responsibilities

Code and abstract inpatient charts by accurately assigning ICD-10-CM and ICD-10-PCS codes.
Assign ICD-10-CM/PCS codes and present-on-admission indicators to reflect the appropriate DRG, severity of illness, and risk of mortality, maintaining at least 95% accuracy.
Abstract coding and clinical data, including discharge disposition, discharge date, and patient type, with at least 95% accuracy.
Ensure codes reflect the level of specificity supported by the source documentation.
Apply knowledge of disease processes, anatomy and physiology, medical terminology, and pharmacology when assigning diagnosis codes.
Process emails, Smarts, CDI items, and internal and external audits daily within a 24-to-48-hour response time.
Select the principal diagnosis and principal procedure, as well as other diagnoses and procedures, using UHDDS definitions and maintaining a high coding accuracy rate.
Keep current with coding and reimbursement guidelines and regulations, including ICD-10-CM Guidelines for Coding and Reporting and Coding Clinic guidance.
Use Epic and the 3M 360 Encompass encoder.
Write appropriate physician queries, refer queries to physicians and questions to supervisors as appropriate, and comply with internal audit requirements, including reviewing charts for complication/comorbidity compliance.
Confirm the accuracy of autosuggested codes using evidence review buttons.
Complete 30 hours of continuing education annually.