医院住院编码员
Hospital Inpatient Coder
与一家以卓越著称的组织携手。Cedars Sinai 连续19年获得国家研究公司（National Research Corporation）的消费者选择奖，以在洛杉矶提供最高质量的医疗服务而闻名。我们还获得了咨询委员会公司（Advisory Board Company）的年度最佳工作场所奖。该年度奖项表彰全国范围内员工参与度达到高水平的医院和医疗系统。我们提供丰厚的福利包，包括带薪休假、医疗保险和403(B)退休计划。加入我们！了解为什么《美国新闻与世界报道》（U.S. News & World Report）将我们列为全美最佳医院之一。
您在此职位中将承担的工作内容：
在编码主管的总体指导下，住院部编码员负责根据标准编码指南审查所有相关文档，分配 ICD-10-CM 和 ICD-10-PCS 编码。机构住院编码员确定主要诊断、合并症/并发症、入院时存在的指标，并确定编码顺序以计算最合适的 DRG 来代表患者的住院情况。该职位需要掌握 Medicare Severity Diagnosis Related Groups (MS-DRG) 和 All Patient Refined Diagnosis Related Groups (APR-DRG) 的知识。此外，任职者还需掌握用于统计目的的适当编码捕获知识，例如健康的社会决定因素（SDOH）、层级条件（HCC）和影响严重程度的状况。
- 在各种电子医疗/健康系统中审查医疗文档/健康信息，并在生产率和质量标准范围内为指定区域/专业领域（机构或专业）分配适用的编码（ICD-10-CM、ICD-10-PCS）。
- 及时准确地将所有必要的数据元素提取并录入到适用系统中，使用适用于工作分配的应用程序。这可能包括但不限于：EPIC（CS-Link）、EPIC HB 和 PB 模块、Solventum 360Encompass、Solventum 独立编码器、Select Coder 等。
- 应用特定类别编码的行业要求及其影响（SDOH、PSI）的基础知识。
- 使用当前指南在指定区域/专业领域内以一致的准确性解决复杂的住院编辑/警报。
- 与临床文档完整性团队成员沟通复杂临床场景，以确保所有相关编码都被正确分配。
查看英文原文
Align yourself with an organization that has a reputation for excellence. Cedars Sinai was awarded the National Research Corporation’s Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We were also awarded the Advisory Board Company’s Workplace of the Year. This annual award recognizes hospitals and health systems nationwide that have outstanding levels of employee engagement. We offer an amazing benefits package that includes paid time off, health care and a 403(B). Join us! Discover why U.S. News & World Report has named us one of America’s Best Hospitals.
What you will be doing in this role:
Working under the general direction of a coding supervisor, the Hospital Inpatient Coder is responsible for the assignment of ICD-10-CM and ICD-10-PCS codes by reviewing all appropriate documentation in accordance with standard coding guidelines. The Facility Inpatient Coder identifies the principal diagnosis, comorbidities/complications, present on admission indicators, and determines sequencing of codes to calculate the most appropriate DRG representing the patient stay. The role maintains knowledge of both Medicare Severity Diagnosis Related Groups (MS-DRG) and All Patient Refined Diagnosis Related Groups (APR-DRG) is required. Additionally, the incumbents maintain knowledge of appropriate capture of codes for statistical purposes such as Social Determinants of Health (SDOH), Hierarchical Conditions (HCC), and severity impacting conditions.
- Reviews medical documentation/health information within various electronic medical/health system(s) and assigns applicable codes (ICD-10-CM, ICD-10-PCS) within productivity and quality standard for area(s) of assignment/specialty (Facility or Professional).
- Abstracts all required data elements for reporting and statistical capture in a timely and accurate manner into the applicable system using the applications appropriate to the work assignment. This may include but not limited to: EPIC (CS-Link), EPIC HB and PB modules, Solventum 360Encompass, Solventum Standalone Encoder, Select Coder, etc.
- Applies basic knowledge of industry requirements of specific category coding and the impact (SDOH, PSI).
- Resolves complex inpatient edits/alerts with consistent accuracy using current guidelines within area(s) of assignment/specialty
- Communicates with Clinical Documentation Integrity Team members regarding complex clinical scenarios to ensure all relevant codes are assigned
- Focuses learning on advanced level concepts
- Translates medical records/health information including diagnoses, procedures and treatment and assigns standardized codes (International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM), International Classification of Diseases, Tenth Revision, and Procedure Coding System (ICD-10-PCS) for patients receiving services within the Cedars Sinai Health System and its affiliates.
- Communicates collaboratively with the Clinical Documentation Integrity (CDI) team to align both clinical and coding approaches to ensure a complete coding profile. References anatomy, physiology, and clinical practice to support code assignment and contribute to CDI discussions.
- Abstracts data elements to satisfy statistical requests by the health system, medical staff, and enters all coded/abstracted information into the assigned system. Identifies opportunities for documentation improvement and seeks clarity by the physicians.
*Approved Remote States: Arizona, California, Colorado, Florida, Georgia, Minnesota, Nevada, Oregon, Texas*
Originally posted on Himalayas