JOB SUMMARY
Hospital Inpatient Coding:
The Hospital Coding Specialist III accurately codes inpatient conditions and procedures as documented in the International Classification of Diseases (ICD) Official Guidelines for Coding and Reporting and in the Uniform Hospital Discharge Data Set (UHDDS) and assignment of the appropriate MS-DRG (Medicare Severity-Diagnosis Related Group) or APR-DRG (All Patients Refined Diagnosis Related Groups) for complex, multi-specialty inpatient services. This individual understands and applies applicable medical terminology, anatomy and physiology, surgical technology, pharmacology and disease processes. The Hospital Coding Specialist III reviews professional and hospital inpatient medical record documentation and properly identifies and assigns:
ICD CM and PCS codes for all reportable diagnoses and procedures. This includes determining the correct principal diagnosis, co-morbidities and complications, secondary conditions, surgical procedures and/or other procedures. MS-DRG /APR-DRGPresent on admission indicatorsHAC (Hospital Acquired conditions) and when required, report through established proceduresPSI conditions and report through established proceduresDischarge Disposition codeWorks collaboratively with the Clinical Documentation Improvement Specialists to address documentation concerns and DRG assignmentsAssists in the preparation of responses to DRG validation requests and other third party payer inquiries related to coding and DRG assignments as requestedJOB QUALIFICATIONS
EDUCATION
The individual applying must meet the minimum qualifications in all three required sections below to be considered a candidate for interview. Please consider when listing minimum qualifications.
Minimum Required: Medical Coding Diploma or American Health Information Management Association (AHIMA) approved Health Information Management Degree or related program.
Preferred/Optional: None
EXPERIENCE
Minimum Required: Three years of progressive inpatient coding experience in an acute care facility in addition to the following;
Knowledge of medical terminology, anatomy and physiology, pharmacology, disease process, and surgical proceduresKnowledge of accepted medical abbreviations and their meaningsKnowledge in the use of specialized references such as the ICD medical dictionaries and texts, and medical journalsMust have extensive knowledge of Coding Clinic and all official coding guidelinesAdvanced knowledge of hospital information systems, encoders and other technology to facilitate a successful work environment while maintaining maximum communication and adhering to HIPAA security standardsAdvanced knowledge Microsoft Outlook, Excel and Word functionsTechnical skills required to learn and navigate a variety of software systems and trouble shoot computer problemsStrong written and verbal communication skillsAbility to think and work independently, yet interact positively with teamAdvanced problem solving skillsAttention to detail is crucial to this positionPreferred/Optional: Experience with electronic health record systems. Academic or level I or II trauma experience is a plus.
CERTIFICATIONS/LICENSES
The following licensure(s), certification(s), registration(s), etc., are required for this position. Licenses with restrictions are subject to review to determine if restrictions are substantially related to the position
Minimum Required: Active credential of Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA) through the American Health Information Management Association (AHIMA) required at the time of hire.
Preferred/Optional: None
Given employment and/or payroll requirements of individual states, Marshfield Clinic Health System supports remote work in the following states:
Alabama
Alaska
Arkansas
Florida
Georgia
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Michigan
Minnesota
Mississippi
Missouri
Nebraska
North Carolina
North Dakota
Ohio
Oklahoma
South Carolina
South Dakota
Tennessee
Texas
Utah
West Virginia
Wisconsin
Wyoming
Marshfield Clinic Health System will not employ individuals living in states not listed above.
Marshfield Clinic Health System is committed to enriching the lives of others through accessible, affordable and compassionate healthcare. Successful applicants will listen, serve and put the needs of patients and customers first.
At Marshfield Clinic Health System, we are fully committed to addressing health equity, diversity and inclusion for our employees and providers, our patients, and the communities we serve. We believe that every individual should have the opportunity to attain their highest level of health. We embrace diversity and welcome differences in who we are and how we think. We believe that any individual or group should feel welcomed, respected and valued. View our Equity and Inclusion Statement here.Exclusion From Federal Programs: Employee may not at any time have been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System’s Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program.
Marshfield Clinic Health System is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.