Inpatient Medical Coding Specialist Per Diem

Job Description: Provides high level technical competency and subject matter expertise analyzing physician/provider documentation in Inpatient health records to determine the principal diagnosis, secondary diagnoses, principal procedure and secondary procedures. Assigns appropriate Medicare Severity Diagnosis Related Groups (MS-DRG), All Patient Refined DRGs (APR), Present on Admission (POA), as well as Severity of Illness (SOI) & Risk of Mortality (ROM) indicators for Inpatient records. Identifies Hospital Acquired Conditions (HAC), Patient Safety Indicators (PSI) to ensure accurate hospital reimbursement. Utilizes encoder software applications, which includes all applicable online tools and references in the assignment of International Classification of Diseases, Clinical Modification (ICD-CM) diagnosis and procedure codes, MS-DRG, APR DRG, POA, SOI & ROM assignments. Reviews Inpatient health record documentation, as part of the coding process, to assess the presence of clinical evidence/indicators to support diagnosis code and MS-DRG, APR DRG assignments to potentially decrease denials. Works with HIM and Patient Financial Services (PFS) teams, when needed, to help resolve billing, claims, denial and appeals issues affecting reimbursement. Maintains current knowledge of changes in Inpatient coding and reimbursement guidelines and regulations as well as new applications or settings for Inpatient coding e.g., Hospital at Home. Requirements: Current permanent U.S. Work Authorization required. Three (3) years of current acute care or Inpatient coding experience is required. Extensive, comprehensive working knowledge of medical terminology, Anatomy and Physiology, diagnostic and procedural coding and MS-DRG, APR DRG assignment. Must be proficient in identifying POA, SOI and ROM indicators for Inpatient records as well as HACs and PSIs to ensure accurate hospital reimbursement. Current experience utilizing encoding/grouping software and Computer Assisted Coding (CAC) is preferred. Ability to use a standard desktop/laptop, email and other Windows applications, if needed, Internet and web-based training tools preferred. Strong oral and written communication skills. Ability to communicate effectively with individuals and groups representing diverse perspectives. Must exhibit critical thinking skills, strong problem-solving skills and the ability to prioritize workload. Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others. Benefits: Medical coverage Dental coverage Vision coverage Paid Time Off Wellness Programs 401(k) plan with employer match Employee stock purchase plan Paid parental leave Adoption assistance Apply To this Job .