Responsibilities

• Thoroughly reads and interprets documentation in the medical record to identify all diagnoses and procedures.
• Accurately assigns ICD-10-CM diagnostic and CPT procedural codes in accordance with UHDDS definitions and coding guidelines as documented in the medical record with a 95% coding accuracy rate and 98% DRG accuracy.
• Sequences ICD-10-CM and CPT codes to assign the MS-DRG, which most accurately reflects the patient’s acuity level.
• Demonstrates proficiency with overall utilization of hospital encoder/grouper and its functions.
• Participates in procedures necessary to accomplish timely and accurate data submission.
• Effectively utilizes AHA Coding Guidelines and other reference sources available within the department.
• Accurately abstracts all codes and other assigned data into the SMS system.
• Meets productivity standards and completes weekly productivity log.
• Consults the appropriate physician, verbally and/or in writing when conflicting or ambiguous information appears in the medical record.
• Produces a coding worksheet/attestation and places on medical record at time of coding.
• Performs extended stay reviews as required for month end close.
• Serves as coding resource for other departments/providers.
• Performs additional duties as assigned.

• Challenging and rewarding work environment
• Competitive Compensation & Generous Paid Time Off
• Excellent Medical, Dental, Vision and Prescription Drug Plans
• 401(K) with company match and discounted stock plan
• SoFi Student Loan Refinancing Program
• Career development opportunities within UHS and its 300+ Subsidiaries!
• Retention Bonus Program if offered.
• Loan Forgiveness Program if offered.

Qualifications

Position Requirements:

One year of inpatient/outpatient coding experience in an acute care facility required.

CCS, RHIT, or RHIA credential.

Knowledge of PC applications including Windows and 3M Encoder. Must demonstrate coding proficiency by earning an acceptable score on a coding test.

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