Certified Inpatient Coding Specialist CCS

As Mount Sinai grows, so does our legacy in high-quality health care.

Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across the country. We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. Mount Sinai takes pride in being South Florida's largest private independent not-for-profit hospital, dedicated to continuing the training of the next generation of medical pioneers.

Culture of Caring: The Sinai Way

Our hardworking, tight-knit community of more than 4,000 dedicated employees fosters an environment of care and compassion. Each member plays a vital role in our collective mission to deliver excellent healthcare through innovation, education, and research. At Mount Sinai, we take pride in our achievements, aiming to be a beacon of quality healthcare in South Florida. We welcome all healthcare professionals to join our thriving community and contribute to our pursuit for clinical excellence.

Department:

Job Description Summary:

FLORIDA RESIDENCY REQUIRED (REMOTE)
Experienced Inpatient Coding Specialist responsible for accurately coding and abstracting inpatient medical records using ICD‑10‑CM and ICD‑10‑PCS with a minimum 95% accuracy rate. Reviews clinical documentation, assigns codes, validates autosuggested codes, and completes detailed chart abstracts while meeting productivity standards of 2.5 charts per hour. Skilled in Epic and 3M 360 Encompass encoder, and proficient in writing compliant physician queries. Maintains up‑to‑date knowledge of Coding Clinic guidance, official coding guidelines, and internal audit requirements. Ensures timely processing of emails and EPIC work queues, while completing ongoing continuing education to support coding competency in a fully remote Florida‑based role.

Position Responsibilities

• Performs coding and abstracting on inpatient charts by accurately assigning ICD-10-CM and PCS codes.
• Assigns correct ICD-10CM/PCS codes and POA’s to reflect the appropriate DRG, SOI, ROM, with an accuracy rate of 95% or greater.
• Performs abstracting of coding and clinical data (I.e. discharge disposition, discharge date, patient type, etc..) with an accuracy rate of 95% or greater.
• Pay attention to detail to assure codes reflect the level of specificity supported in the source document
• Applies knowledge of disease process, anatomy, and physiology, medical terminology and pharmacology when assigning ICD-10-CM diagnoses codes
• Process of Emails, Smarts, CDI, Internal/External Audits daily within a 24 to 48 hour response time.
• Selects the principal diagnosis and principal procedure, along with other diagnoses and procedures using UHDDS definitions with a high level of coding accuracy rate
• Continually updates knowledge of all coding and reimbursement guidelines and regulations, including but not limited to ICD-10-CM Guidelines for Coding and Reporting
• Maintains current knowledge of the information contained in Coding Clinic and the Official Guidelines for Coding and Reporting
• Is proficient in using Epic and 3m 360 Encompass encoder.
• Is able to write appropriate physician queries. Refers queries to physicians and questions to supervisors as appropriate, complying with all internal audit requirements, (i.e. review charts for Complication/Cormorbidity compliance).
• Confirms the accuracy of autosuggested codes by utilizing the evidence review buttons.
• Completes 30 hours of Continued Education annually.

Qualifications

• License/Registration/Certification

  • RHIA Or RHIT Or CCS REQUIRED

• Education

  • Associates degree in Health Information Management or completion of Coding Specialist Prog or equivalent years of work experience.

• Experience

  • 2 years of coding ICD10-CM/PCS

Benefits:

We believe in the physical and mental well-being of our employees and are committed to offering comprehensive benefits that fit their personal needs:

• Health benefits
• Life insurance
• Long-term disability coverage
• Healthcare spending accounts
• Retirement plan
• Paid time off
• Pet Insurance
• Tuition reimbursement
• Employee assistance program
• Wellness program
• On-site housing for select positions and more!

Degree Requirements:

Certification: