Certified Medical Coding Specialist - Inpatient Coding Team
About The Position
MU Health Care is looking for a detail-oriented Medical Coding Specialist to join our team. As a crucial member of our healthcare family, the ideal candidate will possess a passion for precision and a commitment to maintaining the highest standards in medical coding. We value individuals who demonstrate a deep understanding of technical coding principles, coupled with a strong knowledge of ICD-10-CM, ICD-10-PCS, and CPT codes. Our ideal candidate advances their coding expertise through continuous education, ensuring accurate and compliant coding practices. We seek someone who thrives in a fast-paced environment, excels in problem-solving, and actively contributes to audits, troubleshooting, and training initiatives. If you're ready to make a meaningful impact on healthcare billing, reporting, and regulatory compliance, join MU Health Care and be a vital part of our commitment to excellence in patient care.
Requirements
- Certified Coding Associate (CCA) by the American Health Information Management Association (AHIMA)
- Certified Coding Specialist (CCS) by AHIMA
- Registered Health Information Technician (RHIT) by AHIMA
- Registered Health Information Administrator (RHIA) by AHIMA
- Certified Professional Coder (CPC/CPC-A) by the American Academy of Professional Coders (AAPC)
- Certified Outpatient Coder (COC/COC-A) by AAPC
- Certified Inpatient Coder (CIC/CIC-A) by AAPC
- Specialty certification per the department needs such as: Radiation Oncology Certified Coder (ROCC) by the American Medical Accounting and Consulting Inc (AMAC)
Nice To Haves
- Two (2) years of experience in coding for inpatient or outpatient hospital services.
- Associate degree or bachelor’s degree in health information technology or health administration.
- Additional license/certification requirements as determined by the hiring department.
Responsibilities
- Review appropriate provider documentation to determine appropriate principal diagnosis, co-morbidities and complications, secondary conditions, and surgical procedures; utilizes technical coding principles and MS-DRG or APC reimbursement expertise to assign appropriate ICD-10 codes and/or CPT-4 codes.
- Reviews and when necessary, corrects the patient admission source, status, and disposition upon discharge. Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to Official Coding Guidelines. Advances coding knowledge and practice through continuing education.
- Extract required information from clinical documentation and enters into the encoder and abstracting system, in accordance with the prescribed coding productivity standards.
- Perform additional coding support activities including but not limited to audits for correct coding and billing, participates in testing and troubleshooting problems when implementing new applications or updates to existing systems, assists with training for new software applications.
- Assign Present on Admission (POA) value for all inpatient diagnoses, and an External Cause code as appropriate.
- Consult with the Clinical Documentation Specialist to resolve any unspecified or questionable diagnoses prior to final code assignment; determines whether a query must be sent to clarify ambiguous or unclear documentation.
- Identify chargeable items for visits (i.e. IV infusions/hydration, GI procedures) and enter corresponding charges into the billing system appropriately.
- Work inpatient and/or outpatient coding related bill alerts/edits/denials (i.e. , MUE, Medical Necessity, etc.), in accordance with established procedures.
- Enter detailed notes to update the financial system if the alert/edit cannot be resolved or must be rerouted to another responsible party for research/resolution. Escalates alert/edit resolution issues as appropriate to minimize final billing delays.
- May complete unit/department specific duties and expectations as outlined in department documents.
Benefits
- Health, vision and dental insurance coverage starting day one
- Generous paid leave and paid time off, including nine holidays
- Multiple retirement options, including 100% matching up to 8% and full vesting in three years
- Tuition assistance for employees (75%) and immediate family members (50%)
- Discounts on cell phone plans, rental cars, gyms, hotels and more
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
