
Description
General Summary of Position
MedStar Health is seeking an experienced Inpatient Coding Specialist that has at least 6 months - 1 year of inpatient acute care coding experience with knowledge in MS-DRG and/or APR-DRG. Qualified candidates must be able to obtain their CCS (Certified Coding Specialist) through AHIMA within one year of hire.
Selected candidates will enjoy full time, Monday – Friday, day-shift REMOTE schedule.
Join one of the largest health systems in the Mid-Atlantic area and enjoy the benefits of a comprehensive benefits package including paid time off, health/vision/dental insurance, short & long term disability, tuition reimbursement and the benefits of remote work capability.
Job Summary - Codes and abstracts primarily Inpatient records using ICD-10-CM and other applicable patient classification schemes.
Minimum Qualifications
Education
- High School Diploma or GED equivalent required and Courses in Medical Terminology, Anatomy & Physiology, ICD-CM and ICD-PCS required
- Associate's degree in coding or Bachelor's degree in coding related degree preferred;
- Experience with clinical information systems (3M grouper, electronic medical records, computer assisted coding) and coding experience
- CCS (Certified Coding Specialist) through AHIMA required within 1 year from date of hire.
- RHIT (Registered Health Information Technician) and/or RHIA (Registered Health Information Administrator) preferred
- Verbal and written communication skills.
- Basic computer skills required.
- Abstracts and ensures accuracy of diagnoses, procedure, patient demographics, and other required data elements.
- Adhere 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.
- Meets established Quality standards as defined by policies.
- Meets 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 3M system and other work-related equipment.
Experience
Licenses and Certifications
Knowledge, Skills, and Abilities
Primary Duties and Responsibilities
This position has a hiring range of $28.20 - $44.83
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