Education: High School Diploma or GED required; Associate's degree in coding-related field preferred; Bachelor's degree in coding-related field preferred
Courses in Medical Terminology, Anatomy & Physiology, ICD-10-CM and ICD-PCS required
Experience: 3-4 years inpatient coding experience required
Abstracts and ensures accuracy of diagnoses, procedures, patient demographics and other required data elements
Assigns correct diagnostic and procedural codes using standard guidelines and automated encoding software, maintaining departmental accuracy standards
Determines the sequence of diagnoses and assigns appropriate DRGs according to Uniform Hospital Discharge Data Definitions
Resolves all quality reviews timely (e.g., medical necessity reviews; coding quality assurance reviews; external vendor reviews)
Job description
About this Job:
General Summary of Position The Inpatient Coding Specialist II analyzes and interprets clinical documentation to accurately code and abstract inpatient facility records for all MedStar entities in accordance with established ICD-10-CM/PCS coding classification systems.
Primary Duties and Responsibilities
Contributes to the achievement of established department goals and objectives and adheres to department policies procedures quality standards and safety standards. Complies with governmental and accreditation regulations.
Abstracts and ensures accuracy of diagnoses procedure patient demographics and other required data elements.
Adheres to all compliance regulations and maintains annual compliance education.
Maintains continuing education and seeks ongoing education to improve job performance. Maintains credentials as required for job classification.
Contacts physician when conflicting or ambiguous information appears in the medical record. Adheres to the MedStar Coding Query Policy and procedure.
Consistently meets or exceeds established Quality standards as defined by policies.
Consistently meets or exceeds established Productivity standards as defined by policies.
Resolves all quality reviews timely (e.g. Medical necessity reviews; Coding Quality assurance reviews; external vendor reviews).
Reviews medical record documentation to identify diagnoses and procedures. Assigns correct diagnostic and procedural codes using standard guidelines and automated encoding software maintaining departmental accuracy standards. Determines the sequence of diagnoses according to Uniform Hospital Discharge Data Definitions and assigns appropriate DRG (Diagnosis Related Groups).
Exhibits knowledge of the Solventum system and other work-related equipment.
Participates in meetings and on committees and represents the department and hospital in community outreach efforts.
Participates in multi-disciplinary quality and service improvement teams.
Performs other duties as assigned.
Minimal Qualifications Education
High School Diploma or GED required or
equivalent. required and
Associate's degree in coding related degree preferred or
Bachelor's degree in coding related degree preferred and
Courses in Medical Terminology Anatomy & Physiology ICD-CM and ICD-PCS required
Experience
3-4 years Inpatient coding experience required
Experience with clinical information systems (Solventum grouper electronic medical records computer assisted coding) required
Licenses and Certifications
CCS (Certified Coding Specialist) required and
RHIT (Registered Health Information Technician) preferred and
RHIA (Registered Health Information Administrator) preferred and
Knowledge Skills and Abilities
Verbal and written communication skills.
Basic computer skills required.
Strong analytical and organizational skills; ability to prioritize workloads and meet deadlines.
This position has a hiring range of :
USD $28.20 - USD $47.30 /Hr.
