About The Position

Responsible for reviewing and coding inpatient and/or ambulatory surgery records using ICD-10-CM and ICD-10-PCS or CPT coding guidelines and conventions to establish diagnoses and procedures. Coded data is used for reimbursement, clinical care assessment, education, research, case mix, and health care statistical reporting. This is a full-time, remote role at Mount Sinai Hospital, scheduled for days from 8:00 AM to 4:00 PM.

Requirements

  • Coding certificate.
  • Minimum of 2 years of inpatient/outpatient coding experience in an acute tertiary care hospital.
  • Proficiency in the use of automated coding and DRG/AOC grouping software.

Nice To Haves

  • CCA, CCS (inpatient), or CCS-P (outpatient) certification preferred.

Responsibilities

  • Review, analyze, and code inpatient and/or ambulatory surgery records using prevailing coding guidelines and conventions to establish diagnoses and procedures.
  • Query physicians for clarification of documentation when required.
  • Participate in the documentation improvement process in conjunction with Coding management and leadership.
  • Consistently meet or exceed coding productivity standards according to department policies.
  • Ensure compliance with CMS and other regulatory compliance guidelines.
  • Participate in continuing education opportunities as set forth by Coding leadership and acquire continuing education hours to maintain certifications.
  • Promote and contribute to positive collaboration between HIM and serve as a mentor to junior coding staff.
  • Perform other responsibilities as required.
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