Inpatient Coder (Coding Specialist 3)

Oregon Health & Science University•Portland, OR

1d•Remote

About The Position

This level 3 coding position provides support to the Enterprise Coding Department for the coding of Inpatient services. The Inpatient Coder position requires certification and active credential status with AHIMA and advanced coding experience in the highly specialized areas of Inpatient coding.

Requirements

High school diploma or GED.
Minimum of 4 years professional or hospital experience reviewing, abstracting, coding in ICD 10 CM or ICD 10 PCS, or CPT.
Certification in one of the following (as indicated by the position description): Coding certification from AAPC or AHIMA: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) through the American Health Information Management Association (AHIMA).
Active AHIMA membership may be required for some positions.
Certified Professional Coder (CPC) through the American Academy of Professional Coders; or Equivalent certification.
AHIMA certification required upon hire.
Must be able to pass internal coding test to qualify.

Nice To Haves

Accredited Coding Program, Associates or Bachelor Degree.
Specialized Coding Credential/ Coding certification, RHIA, RHIT or CCS.
Knowledge of Inpatient coding guidelines, MCE and compliance edits.
Experience using an EMR.
Some college course work or education in classes related to anatomy/physiology, medical terminology, ICD-10-CM/PCS coding.
Experience using EPIC, Solventum 3M encoder.
Proficiency with word processing and Excel spreadsheets.
Advanced knowledge of ICD-10-CM, Federal Register, Federal and State insurance billing laws and Mandates.
Excellent verbal and written communication skills with the ability to effectively communicate with individuals at all levels, physicians, nurses, administrative management, etc.
Ability to work as a team player.

Responsibilities

Coding Inpatient services at 95% or above accuracy.
Abstract information from inpatient medical records to assign correct codes following the ICD 10 guidelines.
Identify query opportunities.
Verify Account Class, Attending provider, and Discharge Disposition in Epic.
Assign codes via 3m 360.
Resolve with coding leads and billing, any issues, coding denial requests or questions as part of coding denial process.
Follow team procedures necessary in carrying out ICD 10 coding on cases in the Uncoded IP accounts work queue in Epic.
Monitor activity for compliance with federal and/or state laws regarding correct coding set forth by CMS and Oregon Medical Assistance program (OMAP).
Coordinate all billing information and ensure that all information is complete and accurate (diagnosis codes/poa indicators/procedure codes/procedure dates/provider info/discharge disposition).
Maintain supportive and open communication with coding supervisors and team leads regarding coding issues and priority coding responsibilities assigned.
Serve as a resource to inpatient coding leadership and coding team for a broad range of billing policy and procedure issues.
Attend coding meetings and seminars and shares knowledge with other coders.
In collaboration with Leadership, make recommendations and implement remedial actions for problems.
Monitor coding and billing information from newsletters, memos, and transmittals from coding publishers and government agencies to advise physicians of billing practice changes in ICD-10.
Participate in Enterprise Coding education sessions, Kaizen events, maintain CEUs, stay informed of current trends in coding.
Identify cases with a CDI reviewer listed in 3M 360.
Review CDI documentation before coding.
Effectively communicate with CDI via email.
Manage emails in a timely manner.
Other duties as assigned.