Coding Specialist Inpatient Mid Level

Job Description

Joins AdventHealth to extend the healing ministry of Christ. Works with physicians to clarify discrepancies, additional diagnoses, complications, or co-morbid conditions as needed.

• Applies ICD-10-CM/PCS codes, MS-DRG codes, Present on Admission codes, and patient status codes, understanding their impact on mortality rates, clinical quality, reimbursement, internal scorecards, and key performance indicators.
• Utilizes a thorough understanding of the Official Coding Guidelines, Coding Clinic guidance, medical necessity, and coverage determinations.
• Uses critical thinking and sound judgment in decision-making, balancing reimbursement considerations with regulatory compliance.
• Reviews encounters for proper admission source, discharge disposition, and assigns the operative physician and date of procedure to the chart coding screen.

Knowledge, Skills, And Abilities

• Thorough knowledge of Medicare reimbursement methodology, documentation guidelines, data abstraction, and encoder functionality.
• Ability to communicate effectively with physicians and physician office staff.
• Computer skills, including Microsoft Office and Encoder software.
• Self-motivated and able to work independently in a remote setting.
• Critical thinking and problem-solving skills.

Education

• Associate degree in Health Information Management or medical coding certification required.

Work Experience

• Three plus years of inpatient hospital coding experience, including cases requiring specialized coding skills, such as cardiovascular surgery, neurosurgery, trauma surgery, neonatology, pediatrics, plastic and reconstruction surgery, bariatric surgery, cardiology, and other services and procedures provided in a tertiary care facility.
• Extensive experience with cases requiring more complex coding skills, such as advanced cardiovascular, cardiothoracic, neurological, and orthopedic surgical procedures, extended or prolonged length of stays (> 100 days), BMT and other solid organ transplantations, ECMO, cutting-edge surgical advancements that are considered new and innovative, procedures that may be considered experimental or research-based, and other complicated treatments or procedures provided in a quaternary care facility.

Additional Information

N/A

Licenses And Certifications

• Registered Health Information Administrator (RHIA)
• Registered Health Information Technician (RHIT)
• Certified Coding Specialist (CCS)
• Certified Professional Coder (CPC)

Physical Requirements

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Pay Range

$21.73 - $40.42