Inpatient Coding Specialist (Remote)

A Brief Overview

Responsible for accurately and timely coding of inpatient medical records following established coding, CMS regulations and hospital guidelines. Accurately codes diagnostic and procedural information following coding guidelines and regulations information including, facility specific guidelines and federal regulations.

What You Will Do

• Reviews low to moderate complex medical records to assign diagnostic ICD-10-CM and or ICD-10-PCS codes according to established coding, CMS, and hospital guidelines (95%)
• Coding Technical Skills- ICD-10-CM, ICD-10-PCS, MS-DRG's, APR DRGs, ROM, SOI, and POA assignment.
• Understanding of CC's, MCC's, HCC's, impact on quality reporting, HAC's and PSI's
• Maintains productivity and quality rate according to established standards.
• Works within UH billing time frames.
• Maintains coding knowledge and skills via written coding resources, clinical information and educational webinars. Maintains knowledge of guidelines and regulations affecting the UHHS Coding Department. Maintains up to date credentials.
• Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA).
• Abstracts selected data items and enters in 3M encoder/Epic software with accuracy and attention to detail.
• Follows facility query policy and CDI reconciliation process.
• Utilizes critical thinking/problem solving processes.
• Collaborates with and supports the Clinical Documentation Integrity Team.
• Demonstrates effective time management skills by completing assignments within time constraints and calendar schedule.

Additional Responsibilities

• Participates in educational and informational activities.
• Performs other duties as assigned.
• Complies with all policies and standards.
• For specific duties and responsibilities, refer to documentation provided by the department during orientation.
• Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.