What You Will Do:
This position will have some telework (remote) option throughout the work week.
*Must be CCS, RHIA or RHIT certified. CCS is ideal.
Under supervision from the Coding Manager, codes hospital medical records for the purpose of appropriate reimbursement, research and compliance with federal and state regulations according to established ICD-10-CM and CPT4 diagnostic and procedural coding and APR-DRG guidelines.
Duties and Responsibilities
- Identifies and assigns ICD-10-CM diagnostic and procedural codes to all inpatient discharges ensuring correct APR-DRG and SOI assignment for the purpose of reimbursement, research and compliance with federal and state regulations.
- Identifies and assigns ICD –10-CM diagnostic, procedure codes and CPT4 codes to all Same Day Care records for the purpose of reimbursement, research and compliance with federal and state regulations.
- Codes and abstracts records within timeframes established for each patient type.
- Abstracts statistical data required from discharges using the hospitals computerized abstracting system. Maintains Abstracting quality standards of 95% set by the HIMD.
- Maintains Coding quality accuracy rate of 95% set by the HIMD.
- Maintains Productivity rate of 100% set by the HIMD.
- Appropriately queries physicians for clarification of diagnosis or procedure when the documentation is unclear. States questions according to proper protocol.
- Monitors the Physician Queries work queue on a daily basis or as directed by manager.
- Maintains Epic and HDM with any abstracting and coding corrections and forwards them to the Coding Manager.
- Monitors and reconciles various Epic work queues to facilitate the billing process within the established timeframes.
- Communicates with various departments within the hospital (admitting, patient financial services, etc.) regarding billing and registration issues. Refers any problems to the departments and monitors work queues for responses.
- Complies with AHIMA standards of ethical coding and coding compliance guidelines.
- Demonstrates the use of equipment in a safe and proper manner.
- Demonstrates support and compliance with University of Maryland Medical Center Midtown Campus’ mission, vision, values, philosophy, goals, objectives and policies.
- Demonstrates support and compliance with University of Maryland Medical Center Midtown Campus’ Customer Service Standards.
What You Need to Be Successful:
Education and Experience Requirements
- High School graduate or equivalent required. Associates degree in Health Information Technology program preferred. Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA) or Certified Coding Specialist (CCS) required. Demonstrated knowledge of medical terminology, anatomy and physiology, and APR-DRG assignment required.
- Two (2) years inpatient coding experience in an acute care setting required, and ICD-10 and CPT4 experience required.
- Physicians, ancillary departments including Patient Financial Services, Financial Planning and Admitting, etc.
- 95% sitting, detailed reading and computer data entry.
We are an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.