Coding Specialist II Inpatient - APR-DRG

General Summary of Position

MedStar Health is seeking experienced Inpatient Coding Specialists that are self-motivated and have at least 3 years of inpatient acute care coding experience with knowledge in MS-DRG and/or APR-DRG. Qualified candidates must have their CCS (Certified Coding Specialist) through AHIMA.

Selected candidates will enjoy full time, Monday - Friday, day-shift REMOTE schedule.

Join one of the largest health systems in the Mid-Atlantic area and enjoy the benefits of a comprehensive benefits package including paid time off, health/vision/dental insurance, short & long term disability, tuition reimbursement and the benefits of remote work capability.

Job Summary - Codes and abstracts primarily Inpatient acute care records using ICD-10-CM/PCS and other applicable patient classification schemes.

Primary Duties and Responsibilities

• Abstracts and ensures accuracy of diagnoses procedure patient demographics and other required data elements.
• Adheres to all compliance regulations and maintains annual compliance education.
• Maintains continuing education and seeks ongoing education to improve job performance. Maintains credentials as required for job classification.
• Contacts physician when conflicting or ambiguous information appears in the medical record. Adheres to the MedStar Coding Query Policy and procedure.
• Consistently meets or exceeds established Quality standards as defined by policies.
• Consistently meets or exceeds established Productivity standards as defined by policies.
• Resolves all quality reviews timely (e.g. Medical necessity reviews; Coding Quality assurance reviews; external vendor reviews).
• Reviews medical record documentation to identify diagnoses and procedures. Assigns correct diagnostic and procedural codes using standard guidelines and automated encoding software maintaining departmental accuracy standards. Determines the sequence of diagnoses according to Uniform Hospital Discharge Data Definitions and assigns appropriate DRG (Diagnosis Related Groups).
• Exhibits knowledge of the Solventum system and other work-related equipment.

Minimal Qualifications
Education

• High School Diploma or GED required
• Associate degree or Bachelor's degree in coding related degree preferred
• Courses in Medical Terminology Anatomy & Physiology ICD-CM and ICD-PCS required

Experience

• 3-4 years Inpatient coding experience required
• Experience with clinical information systems (Solventum grouper electronic medical records computer assisted coding) required

Licenses and Certifications

• CCS (Certified Coding Specialist) required
• RHIT (Registered Health Information Technician) preferred
• RHIA (Registered Health Information Administrator) preferred

Knowledge Skills and Abilities

• Verbal and written communication skills.
• Basic computer skills required.
• Strong analytical and organizational skills; ability to prioritize workloads and meet deadlines.