Inpatient Medical Coding & Reimbursement Specialist-Sr

University of Virginia

4d•$24

About The Position

Responsible for the assignment of appropriate. ICD-10-CM/PCS and /or CPT-4 codes to obtain accurate DRG or APC assignment for proper reimbursement and data collection. Assigns all pertinent ICD-10-CM diagnosis codes and ICD-10-PCS or CPT-4 codes based on official inpatient and outpatient coding guidelines. Abstracts diagnosis and procedure codes as well as other required data elements as specified by the department or area of the Medical Center into the required Health System computer program (360 CAC, Epic, etc.). Attends educational sessions. In addition to the above job responsibilities, other duties may be assigned. The ideal candidate for a senior inpatient hospital coder has: Recent coding experience at a major academic medical center. Knowledge of hospital inpatient coding principles including Diagnosis Related Group (DRG) assignment logic, conditions affecting hospital quality measures such as Hospital Acquired Conditions, Patient Safety Indicators, Present on Admission, and HCCs. A high level of accuracy, attentiveness to detail, and time management skills for translating complex medical documentation into diagnostic classification system codes. In-depth knowledge of medical terminology, anatomy and physiology, complex disease processes, pathophysiology, and pharmacology. Ability to work independently in a teleworking environment, to organize/prioritize work, exercise excellent communication skills, demonstrate follow through skills, and maintain a positive attitude.

Requirements

High School Graduate or Equivalent.
5 years of relevant experience.
Coding certification is required through the AHIMA or AAPC as a RHIA, RHIT, CCS, CCS-P, CPC, CCA, or CPC-H.

Nice To Haves

Recent coding experience at a major academic medical center.
Knowledge of hospital inpatient coding principles including Diagnosis Related Group (DRG) assignment logic, conditions affecting hospital quality measures such as Hospital Acquired Conditions, Patient Safety Indicators, Present on Admission, and HCCs.
A high level of accuracy, attentiveness to detail, and time management skills for translating complex medical documentation into diagnostic classification system codes.
In-depth knowledge of medical terminology, anatomy and physiology, complex disease processes, pathophysiology, and pharmacology.
Ability to work independently in a teleworking environment, to organize/prioritize work, exercise excellent communication skills, demonstrate follow through skills, and maintain a positive attitude.

Responsibilities

Assignment of appropriate ICD-10-CM/PCS and /or CPT-4 codes to obtain accurate DRG or APC assignment for proper reimbursement and data collection.
Assigns all pertinent ICD-10-CM diagnosis codes and ICD-10-PCS or CPT-4 codes based on official inpatient and outpatient coding guidelines.
Abstracts diagnosis and procedure codes as well as other required data elements as specified by the department or area of the Medical Center into the required Health System computer program (360 CAC, Epic, etc.).
Attends educational sessions.
Other duties may be assigned.