Inpatient Coding Specialist

About the role

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.

Responsibilities

• 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