Certified Inpatient Coding Specialist CCS

Department Job Description Summary

The Inpatient Coding Specialist will be responsible for accurately coding and abstracting inpatient medical records using ICD-10-CM and ICD-10-PCS with a minimum 95% accuracy rate. They will review clinical documentation, assign codes, validate autosuggested codes, and complete detailed chart abstracts while meeting productivity standards.

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.
• Processes 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.
• Writes 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).
• Completes 30 hours of Continued Education annually.

Qualifications

• RHIA Or RHIT Or CCS REQUIRED
• 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

• 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!