Senior Certified Inpatient Coding Specialist

Role Overview

• Responsible for reviewing and abstracting inpatient medical records
• Identifying and assigning accurate medical codes for diagnosis, procedures, and services in an inpatient setting
• Ensuring all data elements required for federal or state reporting and billing are collected
• Reviews medical record documentation to identify pertinent diagnosis/procedures for inpatient records
• Queries physicians when code assignments are not straightforward or documentation is inadequate
• Keeps abreast of coding guidelines and reimbursement reporting guidelines
• Effectively assigns ICD-10 codes and DRGs to inpatient records
• Maintains 92% to 95% in ICD-10 and DRG assignment and consistently meets established productivity standards

Requirements

• High School Diploma or GED required
• Associates degree in Health Information Management or any Healthcare Related Field preferred
• 5 years of inpatient hospital coding experience required
• Experience coding in a level 1 trauma facility/academic teaching facility strongly preferred
• Effective oral and written communication skills
• Strong knowledge of ICD-10-CM and PCS coding
• Strong knowledge of human anatomy, physiology, medical terminology and surgical terminology
• Knowledge of coding compliance policies and official coding guidelines

Benefits

• Health insurance
• Professional development opportunities