住院医疗编码员 3
Inpatient Medical Coder 3
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职位名称：
住院医疗编码员 3
部门：
医疗体系共享服务 | MIM CDI 和编码
远程职位
职位范围
住院编码服务负责对住院病人的医疗记录进行诊断和操作编码，以支持大型学术医学中心的准确报销、监管合规性和企业数据报告。
所有住院接触都会应用 ICD-10-CM 诊断代码和 ICD-10-PCS 操作代码。医疗记录摘要数据基于电子健康记录中在编码过程中审查的临床文档准确性进行采集。
职位概述
该职位负责在患者入院结束时对住院医疗记录进行回顾性编码，确保符合联邦法规和官方编码指南，完成、准确且合规的编码分配。
该职位需要在住院编码实践方面具备高级专业知识，包括选择入院诊断、主要和次要诊断，以及主要和次要 ICD-10-PCS 操作的分配。该职位负责准确的 ICD-10-CM 和 ICD-10-PCS 编码分配、诊断和操作的适当排序，以及所需数据元素的提取，包括入院来源、入院类型、出院处置、主治医生和操作医生。
使用计算机辅助编码（CAC）和编码工具，在全面审查电子病历后进行编码。
查看英文原文
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Job Title:
Inpatient Medical Coder 3Department:
Health System Shared Services | MIM CDI and CodingRemote Position
Scope of Position
Inpatient Coding Services assigns diagnosis and procedural codes to inpatient medical records to support accurate reimbursement, regulatory compliance, and enterprise data reporting across a large academic medical center.
ICD-10-CM diagnosis codes and ICD-10-PCS procedure codes are applied to all inpatient encounters. Medical record abstract data is captured based on clinical documentation reviewed for accuracy within the electronic health record during the coding process.
Position Summary
This position is responsible for retrospective coding of inpatient medical records at the conclusion of the patient’s admission, ensuring complete, accurate, and compliant code assignment in accordance with federal regulations and official coding guidelines.
The role requires advanced expertise in inpatient coding practices, including selection of the admitting diagnosis, principal and secondary diagnoses, and assignment of principal and secondary ICD-10-PCS procedures. The position is responsible for accurate ICD-10-CM and ICD-10-PCS code assignment, appropriate sequencing of diagnoses and procedures, and abstraction of required data elements, including admission source, admission type, discharge disposition, and attending and procedural physicians.
Codes are assigned using computer-assisted coding (CAC) and encoder tools following comprehensive review of the electronic medical record.
This position is responsible for resolving all system and coding edits during the coding and abstraction process and ensuring accurate MS-DRG and APR-DRG assignment to support compliant hospital reimbursement. The role requires a strong understanding of DRG methodology, including severity of illness (SOI) and risk of mortality (ROM), and the impact of coding on quality outcomes, case mix index (CMI), and reimbursement.
The position collaborates with Clinical Documentation Integrity (CDI) specialists, physician advisors, and revenue cycle partners to clarify documentation, support denial prevention efforts, and ensure adherence to coding guidelines and regulatory requirements.
This staff member is accountable for maintaining departmental productivity and quality standards, adhering to an approved work schedule, and completing required workload tracking.
Minimum Required Qualifications
High School diploma or GED required.
Credentialed as one of the following:
Registered Health Information Technician (RHIT)
Registered Health Information Administrator (RHIA) Certified Coding Specialist (CCS) through the American Health Information Management Association (AHIMA)
A minimum of two (2) years of inpatient hospital coding experience required, including ICD-10-CM/PCS code assignment and DRG assignment.
Four (4) to six (6) years of inpatient coding experience preferred.
Additional Information:
Location:
Remote LocationPosition Type:
RegularScheduled Hours:
40Shift:
First ShiftFinal candidates are subject to successful completion of a background check. A drug screen or physical may be required during the post offer process.
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Originally posted on Himalayas