Coding Quality Review Specialist - Inpatient (CCS Required)

About the role

The Inpatient Coding Quality Review Specialist ensures the quality and integrity of inpatient medical records through expert coding reviews. This role validates ICD-10-CM/PCS code assignments by reviewing medical record documentation, present on admission (POA) indicators, and discharge disposition status. Responsibilities also include reviewing quality indicators such as Maryland Hospital-Acquired Conditions (MHACs), Hospital-Acquired Conditions (HACs), Patient Safety Indicators (PSIs), and mortality cases.

Qualifications

• High School Diploma or GED
• Vocational/Technical Degree or certificate; Associate in Health Information Management, Health Information Technology or similar degree with successful completion of medical terminology, Anatomy and Physiology and Coding courses in ICD-10 CM and PCS preferred
• 1-2 years inpatient coding experience, preferably in an acute care setting
• 3-4 years Auditing experience preferred
• Current Certified Coding Specialist (CCS) credential through AHIMA (required)
• Certificate as a Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) or Certified Inpatient Coder (CIC AAPC) preferred

Skills

• Expertise in ICD-10-CM/PCS code assignment
• Medical record documentation review
• POA indicator and discharge disposition validation
• Quality indicator review (MHACs, HACs, PSIs, mortality cases)

Benefits

• Comprehensive health and wellness benefits
• Generous PTO
• Tuition assistance
• Retirement plans
• Supportive and inclusive work environment
• Continuing education, professional development, and personal fulfillment opportunities

About MedStar Health

MedStar Health is dedicated to providing the highest quality care for people in Maryland and the Washington, D.C., region, while advancing the practice of medicine through education, innovation, and research. Our team of 33,000 includes physicians, nurses, residents, fellows, and many other clinical and non-clinical associates working in a variety of settings across our health system, including 10 hospitals and more than 300 community-based locations, the largest home health provider in the region, and highly respected institutes dedicated to research and innovation. As the medical education and clinical partner of Georgetown University for more than 20 years, MedStar Health is dedicated not only to teaching the next generation of doctors, but also to the continuing education, professional development, and personal fulfillment of our whole team. Together, we use the best of our minds and the best of our hearts to serve our patients, those who care for them, and our communities. It's how we treat people.