Inpatient Coding Specialist I - Medical Records - Mount Sinai Hospital - FT Days 8AM-4PM (Remote)
About The Position
Responsible for reviewing and coding inpatient and/or ambulatory surgery records using ICD-10-CM, 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. The role includes querying physicians when documentation needs clarification, contributing to documentation improvement, meeting departmental coding productivity standards, and ensuring compliance with CMS and other regulatory guidelines. The specialist participates in continuing education to maintain certifications and supports collaboration within Health Information Management, including mentoring junior coding staff.
Requirements
- At least 2 years of inpatient/outpatient coding experience in an acute tertiary care hospital.
- Proficiency in automated coding and DRG/AOC grouping software.
Nice To Haves
- Coding certificate.
- CCA certification.
- CCS (inpatient) or CCS-P (outpatient) certification.
Responsibilities
- Review, analyze, and code inpatient and/or ambulatory surgery records using applicable 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 as established by department policies.
- Ensure compliance with CMS and other regulatory guidelines.
- Participate in continuing education opportunities and acquire continuing education hours to maintain certifications.
- Promote collaboration within HIM and serve as a mentor to junior coding staff.
- Perform other responsibilities as required.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
No Education Listed
