**Building Location:**
Business Service Center
**Department:**
46240 Hospital Coding
**Job Description:**
This position is responsible for reviewing clinical documentation and assigning ICD-10-CM diagnosis, PCS procedure codes, and the DRG to ensure proper reimbursement for complex inpatient accounts. Requires extensive knowledge and understanding of ICD-10-CM/PCS coding guidelines, MS-DRG and APR-DRG reimbursement systems, medical terminology, and disease processes. Works closely with Clinical Documentation Integrity and clinicians to ensure complete and accurate documentation, coding, and final DRG assignment. Adheres to the quality and productivity standards set by the department.
**Education Qualifications:**
Key Responsibilities:
+ Evaluates health record documentation and accurate reimbursement by ensuring that ICD-10-CM diagnostic and PCS procedural codes accurately reflect and support the inpatient hospital admission
+ Identifies documentation clarification opportunities to ensure that documentation supports the coding and DRG assignment. Initiates coding queries and provides feedback to clinicians
+ Reviews Local Coverage Determination (LCD)/National Coverage Determination (NCD) policies for ICD-10-CM diagnoses that support medical necessity for services provided
+ Works with the coding denials team for education and assists with DRG denial prevention solutions
+ Ensures inpatient accounts are coded accurately and in a timely manner
+ Consistently maintains coding quality (95% accuracy) and productivity expectations
+ Assists with the training of inpatient coders
+ Performs related duties as required
Educational Requirements:
+ Successful completion of a coding program, which included coursework in ICD-10-CM/PCS, medical terminology, anatomy and physiology and disease processes
Required Qualifications:
+ Two (2) years of hospital inpatient/DRG coding experience
Preferred Qualifications:
+ Epic experience
+ 3M Encoder experience
+ Computer Assisted Coding experience
**Licensure/Certification Qualifications:**
Certification/Licensure Requirements:
+ Current certification with American Health Information Management Association (AHIMA) or AAPC and credentialed as Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Professional Coder (CPC), Certified Coding Specialist (CCS), and/or Certified Inpatient Coder (CIC)
+ Passing score on the Essentia Health senior inpatient coding skills assessment
**FTE:**
1
**Possible Remote/Hybrid Option:**
Remote
**Shift Rotation:**
Day Rotation (United States of America)
**Shift Start Time:**
08:00
**Shift End Time:**
4:30
**Weekends:**
No weekends
**Holidays:**
No
**Call Obligation:**
No
**Union:**
DC USWA Main & Neighborhoods (DCUMN)
**Union Posting Deadline:**
04/22/2024 11pm
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Equal Employment Opportunity (EEO) at Essentia
It is our policy to afford EEO to all individuals, regardless of race, religion, color, sex, pregnancy, gender identity, national origin, age, disability, family medical history, genetic information, sexual orientation, marital status, military service or veteran status, culture, socio-economic status, status with regard to public assistance, and other factors not related to qualifications, including employees or applicants who inquire about, discuss, or disclose their compensation or the compensation of other employees or applicants, or membership or activity in a local human rights commission, or any other category as defined by law.
