Coding Specialist II -Inpatient

General Summary of Position

MedStar Health is seeking experienced Inpatient Medical Coders that are self-motivated and have at least 3 years of inpatient acute care coding experience with knowledge in MS-DRG and/or APR-DRG. Qualified candidates must have their CCS (Certified Coding Specialist) through AHIMA. 

MedStar Health provides the latest technology including our EMR Cerner MedConnect, 3MHDM and 3m360 computer-assisted coding software.

Selected candidates will enjoy full time, Monday – Friday, day-shift REMOTE schedule.

Join one of the largest health systems in the Mid-Atlantic area and enjoy the benefits of a comprehensive benefits package including paid time off, health/vision/dental insurance, short & long term disability, tuition reimbursement and the benefits of remote work capability.

Job Summary - Codes and abstracts primarily Inpatient acute care records using ICD-10-CM/PCS and other applicable patient classification schemes.

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Primary Duties and Responsibilities

Contributes to the achievement of established department goals and objectives and adheres to department policies, procedures, quality standards, and safety standards. Complies with governmental and accreditation regulations.

Abstracts and ensures accuracy of diagnoses, procedure, patient demographics, and other required data elements.

Adhere to all compliance regulations and maintains annual compliance education.

Maintains continuing education and seeks ongoing education to improve job performance. Maintains credentials as required for job classification.

Contacts physician when conflicting or ambiguous information appears in the medical record. Adheres to the MedStar Coding Query Policy and procedure.

Meets established Quality standards as defined by policies.

Meets established Productivity standards as defined by policies.

Resolves all quality reviews timely (e.g. Medical necessity reviews; Coding Quality assurance reviews; external vendor reviews).

Reviews medical record documentation to identify diagnoses and procedures. Assigns correct diagnostic and procedural codes using standard guidelines and automated encoding software maintaining departmental accuracy standards. Determines the sequence of diagnoses according to Uniform Hospital Discharge Data Definitions and assigns appropriate DRG (Diagnosis Related Groups).

Exhibits knowledge of the 3M system and other work-related equipment.

Minimum Qualifications
Education

• High School Diploma or GED equivalent required
• Associate degree or Bachelor's degree in coding related degree preferred
• Courses in Medical Terminology, Anatomy & Physiology, ICD-CM and ICD-PCS required

Experience

• 3-4 years Inpatient coding experience required
• Experience with clinical information systems (3M grouper, electronic medical records, computer assisted coding) preferred

Licenses and Certifications

• CCS (Certified Coding Specialist) required
• RHIT (Registered Health Information Technician) and/or RHIA (Registered Health Information Administrator) preferred

Knowledge, Skills, and Abilities

• Verbal and written communication skills.
• Basic computer skills required.

This position has a hiring range of $28.2 - $47.3