Hospital Coding Specialist III (Remote)

Marshfield Clinic•Marshfield, WI

43d•Remote

About The Position

The Hospital Coding Specialist III accurately codes inpatient conditions and procedures as documented in the International Classification of Diseases (ICD) Official Guidelines for Coding and Reporting and in the Uniform Hospital Discharge Data Set (UHDDS) and assignment of the appropriate MS-DRG (Medicare Severity-Diagnosis Related Group) or APR-DRG (All Patients Refined Diagnosis Related Groups) for complex, multi-specialty inpatient services. This individual understands and applies applicable medical terminology, anatomy and physiology, surgical technology, pharmacology and disease processes. The Hospital Coding Specialist III reviews professional and hospital inpatient medical record documentation and properly identifies and assigns: ICD CM and PCS codes for all reportable diagnoses and procedures. This includes determining the correct principal diagnosis, co-morbidities and complications, secondary conditions, surgical procedures and/or other procedures. MS-DRG /APR-DRG Present on admission indicators HAC (Hospital Acquired conditions) and when required, report through established procedures PSI conditions and report through established procedures Discharge Disposition code Works collaboratively with the Clinical Documentation Improvement Specialists to address documentation concerns and DRG assignments Assists in the preparation of responses to DRG validation requests and other third party payer inquiries related to coding and DRG assignments as requested

Requirements

AHIMA or AAPC approved Medical Coding Diploma or Health Information Management Degree or related program.
Three years of progressive inpatient coding experience in an acute care facility.
Active credential of Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA) through the American Health Information Management Association (AHIMA); or AAPC (American Academy of Professional Coders) at the time of hire.

Nice To Haves

Experience with electronic health record systems.
Academic or level I or II trauma experience is a plus.
If AAPC credential, preferred is CIC (Certified Inpatient Coder).

Responsibilities

ICD CM and PCS codes for all reportable diagnoses and procedures. This includes determining the correct principal diagnosis, co-morbidities and complications, secondary conditions, surgical procedures and/or other procedures.
MS-DRG /APR-DRG
Present on admission indicators
HAC (Hospital Acquired conditions) and when required, report through established procedures
PSI conditions and report through established procedures
Discharge Disposition code
Works collaboratively with the Clinical Documentation Improvement Specialists to address documentation concerns and DRG assignments
Assists in the preparation of responses to DRG validation requests and other third party payer inquiries related to coding and DRG assignments as requested