The Inpatient Coding Specialist II analyzes and interprets clinical documentation to accurately code and abstract inpatient facility records for all MedStar entities in accordance with established ICD-10-CM/PCS coding classification systems.
Contributes to the achievement of established department and compliance goals. Abstracts and ensures accuracy of diagnoses, procedures, patient demographics, and other required data elements. Maintains continuing education and credentials, including CCS certification. Communicates with physicians for clarification as needed following MedStar Coding Query Policy. Meets or exceeds quality and productivity standards. Resolves quality reviews timely, including medical necessity and coding quality assurance. Reviews medical record documentation, assigns correct diagnostic and procedural codes, determines diagnosis sequencing, and assigns appropriate DRG. Utilizes Solventum system and other coding-related software. Participates in multidisciplinary quality and service improvement teams and community outreach. Performs other duties as assigned.
Education and Experience:
- High School Diploma or GED required; Associate's or Bachelor's degree in coding-related field preferred
- Courses in Medical Terminology, Anatomy & Physiology, ICD-CM and ICD-PCS required
- 3-4 years inpatient coding experience required
- Experience with clinical information systems (Solventum grouper, electronic medical records, computer-assisted coding) required
Licenses and Certifications:
- CCS (Certified Coding Specialist) required
- RHIT and RHIA preferred
Skills:
- Strong verbal and written communication
- Basic computer proficiency
- Strong analytical and organizational skills with ability to prioritize and meet deadlines
Salary Range: $58,656 - $98,344 per year (converted from hourly rate $28.20 - $47.30)
- High School Diploma or GED required
- Associate or Bachelor's degree in coding-related degree preferred
- Courses in Medical Terminology, Anatomy & Physiology, ICD-CM and ICD-PCS required
- 3-4 years inpatient coding experience
- Experience with Solventum grouper, electronic medical records, computer-assisted coding
- CCS certification required
- RHIT and RHIA certifications preferred
- Verbal and written communication skills
- Basic computer skills
- Strong analytical and organizational skills
Location
N/A
Employment Type
Full-time
Experience Level
Senior
Salary Range
$58,656 - $98,344
Remote work allowed
Yes
Posted
3 weeks ago