Job Description
About the Role:
We invite you to be part of our forward-thinking healthcare information management team as a Senior Inpatient Medical Coding Specialist. This critical role will enable you to bridge the gap between clinical data and cutting-edge technology, directly contributing to the evolution of AI-driven solutions for medical coding and billing. Your extensive knowledge will play a vital role in shaping our product development strategies.
Requirements and Qualifications:
At least 3 years of in-depth experience in inpatient medical coding within a hospital environment.
Proven expertise in accurately identifying and extracting ICD-10-CM, ICD-10-PCS, HCPCS/CPT codes, and associated modifiers from patient records.
Thorough understanding of the evidence requirements necessary for precise coding.
Hands-on experience with grouper software for MS-DRG and APR-DRG assignment.
Strong communication skills for effective collaboration with the billing department on all coding issues.
Current knowledge of the latest ICD-10-CM, ICD-10-PCS, HCPCS/CPT coding guidelines and updates.
Familiarity with coding software such as 3M 360 or Optum HIM encoder is a plus.
AHIMA Certified RHIA or RHIT certification is mandatory.
An Associate's or Bachelor's degree in Health Information Management (HIM) is required.
Responsibilities:
Collaborate with product management and engineering teams to enhance AI models used for coding.
Utilize your extensive coding knowledge to train and validate AI systems in accurately extracting relevant codes from diverse clinical documentation.
Contribute to the development of AI algorithms for precise MS-DRG generation to ensure proper reimbursement.
Engage in collecting, entering, validating, and analyzing data to evaluate the success of AI models against established business objectives.
Act as a subject matter expert, guaranteeing the accuracy and integrity 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 bonuses and equity. Our benefits package includes:
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 annually.
Paid parental leave and adoption assistance.
Employee Stock Purchase Plan and additional voluntary benefits.
We believe that innovation thrives when everyone is encouraged to contribute, and we are committed to building an inclusive workforce. We welcome applications from diverse candidates and are dedicated to providing reasonable accommodations for individuals with disabilities throughout the hiring process. Oracle is an Equal Employment Opportunity Employer, ensuring that all applicants are considered without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, or any other characteristic protected by law.