Inpatient Coding Specialist - Certified

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Job ID: 57997
Area of Interest: Professionals
Location: Baltimore, MD US
Hours of Work: M-F, 8a-4p
Job Facility: UMMC Midtown Campus
Employment Type: Full Time
Shift: DAY
What You Will Do:

**Must be RHIA, RHIT or CCS certified**

General Summary

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 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 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 refers records to physicians for clarification of diagnosis or procedure when the documentation is unclear. States questions according to proper protocol.
  • Monitors Physician Communication Queries on a daily basis or as directed by manager. Monitors the completed Physician Query/Coders basket on a daily basis.
  • Maintains Meditech with any abstracting and coding corrections and forwards them to the Coding Manager.
  • Monitors and reconciles various reports (compiled reports of un-coded records, unbilled report, etc.) 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 management in a timely manner, providing clear details.
  • Performs other duties or projects such as preparation of HSCRC tapes, Coding Forum, etc. as assigned by the manager or department head.
  • 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’s mission, vision, values statement, goals and objectives and policies.
  • The above statements reflect the general duties considered necessary to describe the principal functions of the job as identified, and shall not be considered as a detailed description of all the work requirements that may be inherent in the position.


What You Need to Be Successful:

Education and Experience Requirements 
  • High School Diploma or GED 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.
  • Experience with ICD10 coding and Epic EMR system is preferred.

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. 
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