Medical Coder

Luminis Health • Annapolis, MD

8d • $32 - $42 • Onsite

About The Position

The Inpatient Medical Coder under the supervision of the Manager of Coding and Data Quality accurately codes hospital inpatient accounts for the purpose of appropriate reimbursement, research, statistics and compliance to federal and state regulations in accordance with established ICD-10-CM/PCS coding classification systems. This role involves analyzing inpatient cases, identifying and assigning ICD-10 diagnostic and PCS procedural codes, and ensuring accurate MS-DRG MCC/CC and APR-DRG/SOI/ROM and POA assignments. The coder will utilize critical thinking to analyze documentation issues, consult with medical staff and clinical documentation specialists, and send coding queries to providers. They will monitor assigned work daily to facilitate the billing process within established timeframes, maintain a high level of accuracy to prevent claim denials and billing errors, and review medical records to extract pertinent information. Communication with various hospital departments regarding billing and registration issues is also a key responsibility, along with adhering to AHIMA standards of ethical coding and HIPAA privacy regulations. The position requires the use of coding references, software tools, and electronic health records (EHR), as well as participation in ongoing education, training, and certification programs. The coder will also participate in meetings related to DRG mismatches and demonstrate support for the Luminis Health Medical System's mission, vision, values, goals, objectives, and policies. Other duties or projects assigned by the manager will also be performed.

Requirements

• High School graduate or equivalent.
• Formal ICD-10-CM and CPT training required.
• Minimum of one (1) year of inpatient acute care coding experience or two (2) years of acute care outpatient coding experience required.
• Candidates must possess a Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC), Certified Professional Coder (CPC), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA) credential.
• Strong analytical and organizational skills.
• Ability to prioritize workloads; meet deadlines and work effectively under pressure.
• Excellent customer service skills.
• General office procedures.
• Ability to problem solve and work with minimal supervision.
• Familiar with basic medical terminology.
• Computer experience.
• Typing ability.

Nice To Haves

• Associates or Bachelor’s degree preferred.
• Experience with ICD-10-CM/ICD-10-PCS, MS-DRG/APR-DRG methodologies, inpatient reimbursement, and coding guidelines is preferred.
• CCS is preferred at the time of hire and, if not held, must be obtained within one (1) year of employment.

Responsibilities

• Analyzes inpatient cases, identifies and assigns ICD-10 diagnostic and PCS procedural codes for the purpose of reimbursement, research and compliance with federal and state regulations.
• Ensures accurate MS-DRG MCC/CC and APR-DRG/SOI/ROM and POA assignments.
• Utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed.
• Sends coding queries to providers and communicates with CDIS’ when provider queries are clinical in nature.
• Monitors assigned work on a daily basis in order to facilitate the billing process within the established timeframes within work queues.
• Codes and abstracts records within timeframes established for each patient type.
• Maintains a high level of accuracy in code assignments to prevent claim denials, billing errors, and potential legal issues.
• Reviews medical records, including patient histories, examination findings, diagnoses, and treatment plans, to extract pertinent information for code assignments.
• Communicates with various departments within the hospitals regarding billing and registration issues.
• Refers any problems to management timely, providing clear details.
• Complies with AHIMA standards of ethical coding and coding compliance guidelines, including adherence to HIPAA (Health Insurance Portability and Accountability Act) privacy regulations.
• Utilizes coding references, software tools, and electronic health records (EHR) to facilitate accurate and efficient code assignments.
• Participates in ongoing education, training, and certification programs to enhance coding proficiency and maintain credentials.
• Participates in bi-monthly meetings related to DRG mismatches with CDIS.
• Demonstrates support and compliance with Luminis Health Medical System mission, vision, values statement, goals and objectives and policies.
• Performs other duties or projects such as coding corrections assigned by the manager.

Benefits

• Medical, Dental, and Vision Insurance
• Retirement Plan (with employer match for employees who work more than 1000 hours in a calendar year)
• Paid Time Off
• Tuition Assistance Benefits
• Employee Referral Bonus Program
• Paid Holidays, Disability, and Life/AD&D for full-time employees
• Wellness Programs
• Employee Assistance Programs

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED