Advanced inpatient coding role responsible for reviewing medical record documentation and assigning ICD-10-CM, ICD-10-PCS, MS-DRG, and APR-DRG codes in compliance with federal regulations and facility policies.
- Codes all types of inpatient records using official coding guidelines, AHIMA coding ethics, AHA Coding Clinic guidance, CMS directives, and fiscal intermediary communications.
- Uses Optum CAC and follows established workflow to ensure accurate and compliant coding.
- Reviews clinical documentation, abstracts pertinent data, and supports hospital billing, quality reporting, research, statistics, financial planning, compliance, and marketing efforts.
- Assigns principal diagnosis, co-existing conditions, principal procedure, POA indicators, and correct discharge disposition.
- Collaborates with CDI staff and compliance auditors to clarify documentation and improve coding accuracy.
- Determines case complexity using clinical knowledge and researches complex diagnoses and procedures as needed.
- Maintains quality, productivity, and key performance standards while keeping current with coding updates and quarterly Coding Clinic guidance.
Requirements & Qualifications
- Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA).
- Active member of AHIMA or AAPC in good standing.
- Minimum 1 year of recent facility coding experience.
- Per diem candidates must have at least 3 years of recent inpatient coding experience.
- High school diploma or GED required.
- Associate degree in Health Information Technology/Management preferred.
- Must pass departmental coding test with 80% or better.
- Experience in a major academic medical center and ICD-10-CM/PCS preferred.
- Microsoft Office experience preferred.
- Experience with computer-assisted coding and encoder/grouper preferred.
Location
Michigan, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
Yes
Posted
3 weeks ago
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