Inpatient Coding Specialist I

🔥 16 minutes ago

🏄 California – Remote

🏄 California – Remote

💵 $61 - $69 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥 Medical Billing and Coding

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Stanford Health Care

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1885

🏥 Healthcare

⚕️ Healthcare Insurance

📚 Education

Healthcare • Healthcare Insurance • Education

Stanford Health Care is a major academic medical center affiliated with Stanford Medicine. It provides world-renowned patient care, emphasizes innovation and research, and offers a wide range of clinical services and career opportunities across nursing, advanced practice, allied health, laboratory, technology, administration, and other areas. The organization promotes values such as C-I-CARE (respect, courtesy, personal connection), sustainability, dedication, and community collaboration across physicians, researchers, professors, and students to advance health, healing, and knowledge globally.

📋 Description

• Requires review of medical record documentation to accurately assign International Classification of Diseases (ICD-10-CM/PCS) • Codes various (most) patient types of inpatient records and follows the Official Guidelines for Coding and Reporting • Follows Stanford Health Care policies and procedures and maintains required quality and productivity standards • Reviews, abstracts, and assigns accurate and ethical ICD-10-CM and ICD-10-PCS codes to inpatient services • Ensures compliance with third party, State and Federal regulations • Reviews, analyzes and abstracts physician/other documentation for diagnoses, procedures and other services provided • Completes the volume of work from work queues per departmental productivity standards • Groups codes and completed product into payment group • Analyzes information for optimal and appropriate reimbursement • Uses appropriate software to validate information • Maintains competency and accuracy while utilizing tools of the trade such as the 3M encoder, 3M Audit Expert process (3M AES) and 3M Clinical Documentation Improvement System (3M CDIS)

🎯 Requirements

• High School Diploma or GED • Three (3) years of progressively responsible and directly related work experience • Successful completion of the Coder Proficiency Exam (pre-hire) • Ability to adapt to and deal with change and ambiguity • Ability to plan, organize, prioritize, work independently and meet deadlines • Ability to comply with the American Health Information Management Association’s Code of Ethics and Standards and apply Uniform Hospital Discharge Data Set (UHDDS) standards • Ability to establish and maintain effective working relationships • Ability to manage, organize, prioritize, multi-task and adapt to changing priorities • Ability to solve technical and non-technical problems • Ability to utilize the ICD-10-CM/PCS and CPT-4 coding conventions to code medical record entries; abstract information from medical records; read medical record documentation; assign accurate codes for grouping of MS-DRGs and APR-DRGs • Ability to work effectively through and with others • Knowledge of diagnosis/procedure DRG grouping schemes such as MS-DRGs and APR-DRGs • Knowledge of health information systems for computer application to medical records • Ability to foster effective working relationships and build consensus • Ability to work effectively with individuals at all levels of the organization • Knowledge of CCI (Correct Coding Initiatives) and CMS compliance issues • Knowledge of computer systems and software used in functional area • Knowledge of standards and regulations pertaining to the maintenance of patient medical records; medical records coding systems; medical terminology; anatomy and physiology and study of diseases.

🏖️ Benefits

• N/A