Inpatient Coder Specialist

• Reviews complex inpatient documentation to assign diagnosis and procedure codes utilizing ICD-10 CM/PCS, CPT, and HCPCS
• Assigns and ensures correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations utilizing an EMR and/or Computer Assisted Coding software
• Adhere to organizational and internal department policies and procedures
• Responsible for coding high dollar and long length of stay cases for all patient types
• Expertise in query guidelines, and coding standards
• Follow up and obtain clarification of inaccurate documentation as appropriate
• Serves as a subject matter expert to Coding department leaders and peers
• Recommends modifications to current policies and procedures as needed to coincide with government regulations
• Maintain continuing education by attending webinars, reviewing updated CPT assistant guidelines and updated coding clinics
• Knowledgeable in researching coding related topics and issues
• Abides by the Standards of Ethical Coding as set forth by AHIMA and adheres to official coding guidelines
• Practices ethical judgment in assigning and sequencing codes for proper insurance reimbursement
• Collaborates with the Clinical Documentation Improvement and Quality teams, to ensure a match in the DRG and reconciles each Medicare case with the working DRGs from a CDI perspective
• Responsible for clinician communication related to disease processes on a clinical level to ensure accurate coding
• Participates in payer audits and meetings by acting as a resource for coding-related audits
• Attends meetings with clinical teams regarding updates in codes for complex specialties
• Maintains the confidentiality of patient records
• Reports any perceived non-compliant practices to the coding leader or compliance officer
• Meets and exceeds departmental quality (95% or more) and productivity standards (100%)
• Achieves productivity expectations to support discharged not final billed (DNFB)

• Coding Certification issued by American Academy of Coders (AAPC) or American Health Information Management Association (AHIMA)
• Associate's Degree in Health Information Management or related field
• Typically requires 7 years' experience inpatient coding in acute care tertiary facility that includes experience in revenue cycle processes, Clinical Documentation Improvement, Research and health information workflows
• Advanced proficiency of ICD, CPT and HCPCS coding guidelines
• Advanced knowledge of medical terminology, anatomy and physiology
• Excellent computer skills including Microsoft office products, electronic mail, electronic coding systems or applications
• Excellent communication (oral and written) and interpersonal skills
• Excellent organization, prioritization, and reading comprehension skills
• Excellent analytical skills, with a high attention to detail
• Ability to work independently and exercise independent judgment and decision making
• Ability to meet deadlines while working in a fast-paced environment
• Ability to take initiative and work collaboratively with others

Hospital Based Inpatient coding in either a community inpatient or an Academic facility

• Paid Time Off programs
• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
• Flexible Spending Accounts for eligible health care and dependent care expenses
• Family benefits such as adoption assistance and paid parental leave
• Defined contribution retirement plans with employer match and other financial wellness programs
• Educational Assistance Program
• Opportunity for annual increases based on performance