Inpatient Coding Specialist II

🔥 12 hours ago

🇺🇸 United States – Remote

💵 $66 - $74 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥 Medical Billing and Coding

🦅 H1B Visa Sponsor

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Stanford Health Care

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1991

🏥 Healthcare

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Healthcare • Healthcare Insurance • Pharmaceuticals

Stanford Health Care is a leading healthcare provider affiliated with Stanford University, offering a wide range of medical services, including primary, specialty, and emergency care. Known for its cutting-edge research and innovation in medicine, the facility also partners with Stanford Medicine and Stanford School of Medicine to provide top-tier medical education and research opportunities. Patient care is enhanced through their MyHealth online and mobile platforms, allowing easy access to medical records, appointment scheduling, and bill payments. Stanford Health Care is dedicated to improving health outcomes through advanced technology, personalized care, and comprehensive health services.

📋 Description

• Review medical record documentation and assign accurate ICD-10-CM/PCS diagnosis and procedure codes • Assign MS-DRG or APR-DRG classifications, POA indicators, discharge disposition, and sources of admission • Abstract required data according to facility specifications • Monitor Discharged Not Billed accounts and support timely, compliant inpatient revenue-cycle processing • Collaborate with Clinical Documentation Specialists and medical staff to ensure complete documentation • Maintain coding accuracy, quality, and productivity standards • Obtain missing information and clarify existing documentation • Analyze information for appropriate reimbursement and regulatory compliance • Use Epic, 3M Coding and Reimbursement System, 3M CDIS, 3M Audit Expert, MS Office, and other software • Attend required meetings, educational sessions, and annual learning programs • Maintain knowledge of CMS requirements, CCI edits, HACs, PSIs, NCDs, and LCDs

🎯 Requirements

• High School Diploma or GED equivalent • Five (5) years of progressively responsible and directly related work experience • Successful completion of the Coder Proficiency Exam (pre-hire) • 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 utilize ICD-10-CM/PCS and CPT-4 coding conventions; abstract information from medical records; read medical record documentation; assign accurate codes for grouping of MS-DRGs and APR-DRGs • Knowledge of diagnosis/procedure DRG grouping schemes such as MS-DRGs and APR-DRGs • Knowledge of health information systems and computer applications for medical records • Knowledge of CCI and CMS compliance issues • Knowledge of computer systems and software used in the functional area • Knowledge of standards and regulations pertaining to patient medical records, medical-record coding systems, medical terminology, anatomy and physiology, and diseases • RHIA, RHIT, or CCS certification

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