Clinical Coding Specialist

Sentara Health

5d

About The Position

Clinical Coding Specialist Codes complex inpatient records to include Trauma Level I, transplant, and multiple complex surgical procedures. Reviews clinical documentation and diagnostic results as appropriate to extract data and apply ICD-10-CM/ICD-10-PCS and CPT-4 codes for hospital reimbursement, mortality & morbidity outcomes, governmental compliance, research & statistical, internal and external reporting, research, and regulatory compliance. Accurately codes complex inpatient encounter diagnoses, procedures and/or modifiers supported by health information record documentation per ICD-10-CM/ICD-10-PCS official coding guidelines for coding and reporting. Abstracts, codes and assigns necessary demographic and clinical data elements required for inpatient records. Reviews charge capture of complex cardiac procedures for accuracy. As necessary, consults or queries the physician for additional information or clarification of diagnoses, co-morbid/secondary conditions, and procedures. Performs other related duties as requested by HIM management. Minimum of 3 years of coding experience in a hospital setting required. Associates degree preferred. Certified Coding Specialists (CCS) or Certified Inpatient Code (CIC) required. Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) preferred.

Requirements

• Minimum of 3 years of coding experience in a hospital setting required.
• Certified Coding Specialists (CCS) or Certified Inpatient Code (CIC) required.

Nice To Haves

• Associates degree preferred.
• Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) preferred.

Responsibilities

• Codes complex inpatient records to include Trauma Level I, transplant, and multiple complex surgical procedures.
• Reviews clinical documentation and diagnostic results as appropriate to extract data and apply ICD-10-CM/ICD-10-PCS and CPT-4 codes for hospital reimbursement, mortality & morbidity outcomes, governmental compliance, research & statistical, internal and external reporting, research, and regulatory compliance.
• Accurately codes complex inpatient encounter diagnoses, procedures and/or modifiers supported by health information record documentation per ICD-10-CM/ICD-10-PCS official coding guidelines for coding and reporting.
• Abstracts, codes and assigns necessary demographic and clinical data elements required for inpatient records.
• Reviews charge capture of complex cardiac procedures for accuracy.
• As necessary, consults or queries the physician for additional information or clarification of diagnoses, co-morbid/secondary conditions, and procedures.
• Performs other related duties as requested by HIM management.

Benefits

• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to $10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down – $10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
• Pet Insurance
• Legal Resources Plan
• Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree
• Number of Employees: 5,001-10,000 employees