Job Description
Communicate with various departments to clarify discharge dispositions or patient type/status as needed. Understand the importance of secondary diagnosis codes and their impact on quality metrics. Other duties are assigned. Code inpatient charts and verify or assign ICD‑10‑CM/PCS diagnosis and procedure codes based on physician documentation and Computer‑Assisted Coding (CAC) recommendations. Accurately code all diagnoses, treatments, and procedures for inpatient records in accordance with departmental policies and industry standards. Assign ICD‑10‑CM and PCS codes on inpatient records in accordance with all UHDDS rules, official coding guidelines, coding clinic, and approved coding policies and procedures. Code inpatient specialty accounts such as rehab, LTAC, cosmetic, and status changes. Maintain coding productivity standards and achieve a minimum of 96% coding accuracy. Consistently meet or exceed established productivity benchmarks. Communicate coding‑related issues that may affect claims processing, coding accuracy, or compliance to the Coding Management Team. Assume ownership of the discharged, not final billed accounts held by monitoring the queue holds and ensuring accounts are released in a timely manner. Collaborate with the Clinical Documentation Improvement (CDI) team to ensure consistency and completeness of clinical records. Accurately and efficiently complete coding assignments across multiple facilities within established timeframes.
Knowledge, Skills, and Abilities
Solid understanding of inpatient coding principles, including ICD‑10‑CM and ICD‑10‑PCS classification systems.
Proficient knowledge of official coding guidelines, including Coding Clinic recommendations and regulatory standards.
Strong computer literacy with the ability to quickly learn and navigate EMR, Computer Assisted Coding software, and other relevant coding platforms.
Proficient in Microsoft Office applications, including Word, Excel, Outlook, and PowerPoint.
Ability to accurately review and interpret documentation and efficiently apply corresponding codes within the coding software.
Education
High School Graduate or equivalent [Required]
Technical/Vocational school in medical coding certificate program or 2‑year HIM program [Required]
Field Of Study
N/A
Work Experience
3+ years of experience in acute care inpatient hospital coding or completion of AdventHealth inpatient training [Required]
5+ years of acute care inpatient hospital coding and/or auditing experience [Preferred]
Additional Information
Must pass a Coder IV assessment
One of either preferred work experience or education [Required]
Current, valid U.S. passport, permanent resident- alien registration- card ("green card") or appropriate document(s) for international travel [Preferred]
Licenses And Certifications
Certified Coding Specialist (CCS) [Required]
Registered Health Information Administrator (RHIA) [Required]
Registered Health Information Technician (RHIT) [Required]
Certified Professional Coder (CPC) [Required]
Certified Clinical Documentation Specialist (CCDS) [Preferred]
Certified Documentation Improvement Practitioner (CDIP) [Preferred]
American Health Information Management Association (AHIMA) [Preferred]
Benefits
Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
Paid Time Off from Day One
403‑B Retirement Plan
4 Weeks 100% Paid Parental Leave
Career Development
Whole Person Well‑being Resources
Mental Health Resources and Support
Pet Benefits
Physical Requirements
Physical Requirements – https://tinyurl.com/23km2677
Pay Range
$26.29 – $48.91
Equal Employment Opportunity Statement
This facility is an equal opportunity employer and complies with federal, state and local anti‑discrimination laws, regulations and ordinances.
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