Remote Senior Inpatient Coding Specialist

AdventHealth • Orlando, FL

101d • Remote

About The Position

The Inpatient Coder is responsible for reviewing, analyzing, and interpreting clinical documentation in the medical record, applying appropriate ICD-10-CM/PCS coding conventions and MS-DRG Medicare Prospective Payment System requirements. Actively participates in outstanding customer service and accepts responsibility for maintaining relationships that are equally respectful to all. The Senior Coder demonstrates experience and expertise, so coding quality review is not required before billing. The Senior Coder utilizes years of experience and expertise to demonstrate leadership within the coding section, mentoring others and assisting management in maintaining excellence in coding. Actively participates in outstanding customer service and accepts responsibility for maintaining relationships that are equally respectful to all.

Requirements

• High school diploma and two years of coding education (medical coding certificate program or 2-year HIM program), including medical terminology, anatomy & physiology, and pathophysiology coursework.
• Five or more (5) years of inpatient hospital coding experience, including cases requiring specialized coding skills, such as cardiovascular surgery, neurosurgery, trauma surgery, neonatology, pediatrics, plastic and reconstruction surgery, bariatric surgery, cardiology, and other services and procedures provided in a tertiary care facility.
• RHIA, RHIT, CCS, or CIC certification.

Responsibilities

• Verifies CAC codes and that assignment of diagnostic and procedure codes is based on and supported by the physician's clinical documentation contained within the record.
• Effectively communicates with physicians and allied health personnel the need for comprehensive, accurate, timely clinical documentation.
• Discusses optimization and documentation issues with appropriate physicians and clinical personnel to ensure optimal coding and reimbursement, querying physicians for the clarification of discrepancies, additional diagnoses, complications, or co-morbid conditions present during the admission, on an as-needed basis.
• Applies ICD-10-CM/PCS codes, MS-DRG codes, Present on Admission codes, and patient status codes, with an understanding of how each is used and the impact the accuracy of the data has on mortality rates, clinical quality, reimbursement, internal scorecards, and key quality indicators.
• Utilizes a thorough understanding of the Official Coding Guidelines, Coding Clinic guidance, medical necessity, and coverage determinations.

Benefits

• Benefits from Day One
• Paid Days Off from Day One
• Career Development

What This Job Offers

• Job Type: Full-time
• Industry: Ambulatory Health Care Services
• Education Level: High school or GED
• Number of Employees: 501-1,000 employees