Job Description
About the Role:
Join our innovative healthcare information management team as a Lead Inpatient Medical Coder. This pivotal position is essential in connecting clinical data with technology, driving the development of advanced AI solutions for medical coding and billing. You will leverage your expertise to significantly influence our product development initiatives.
Requirements and Qualifications:
At least 3 years of extensive experience in inpatient medical coding within a hospital setting.
Expertise in accurately identifying and extracting ICD-10-CM, ICD-10-PCS, HCPCS/CPT codes, and their modifiers from patient records.
Comprehensive knowledge of the evidence requirements for precise coding.
Hands-on experience with grouper software for MS-DRG and APR-DRG assignment.
Excellent communication skills for effective collaboration with the billing department on coding-related matters.
Up-to-date with the latest ICD-10-CM, ICD-10-PCS, HCPCS/CPT coding guidelines and changes.
Familiarity with coding software such as 3M 360 or Optum HIM encoder is advantageous.
AHIMA Certified RHIA or RHIT certification is required.
Associate's or Bachelor's degree in Health Information Management (HIM) is necessary.
Responsibilities:
Work collaboratively with product management and engineering teams to enhance AI models for coding purposes.
Utilize your deep coding knowledge to train and verify AI systems in extracting relevant codes from various clinical documentation.
Assist in crafting AI algorithms for accurate MS-DRG generation to secure appropriate reimbursement.
Engage in data collection, entry, validation, and analysis to assess the effectiveness of AI models against set business objectives.
Act as a subject matter expert, ensuring the excellence and reliability of medical coding data for product development.
Disclaimer:
Certain roles in the U.S. may require compliance with applicable immunization and occupational health mandates.
Compensation and Benefits:
U.S. salary range: $75,000 to $178,100 annually, with potential for bonuses and equity. Our benefits encompass:
Comprehensive medical, dental, and vision insurance.
Short and long-term disability coverage.
Life insurance and Accidental Death & Dismemberment (AD&D).
Flexible Spending Accounts for health and dependent care.
401(k) with company matching contributions.
Flexible paid time off policy, including vacation and 11 paid holidays yearly.
Paid parental leave and adoption assistance.
Employee Stock Purchase Plan and additional voluntary benefits.
We believe that innovation flourishes when everyone is empowered to contribute, and we are dedicated to fostering an inclusive workforce. We encourage applications from diverse candidates and are committed to providing reasonable accommodations for individuals with disabilities throughout the hiring process. Oracle is an Equal Employment Opportunity Employer, ensuring all applicants are considered regardless of race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, or any other characteristic protected by law.