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Inpatient Coding Specialist
University Hospitals. Review low- to moderate-complexity inpatient medical records and assign diagnostic ICD-10-CM and procedural ICD-10-PCS codes .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in ICD-10-CM and ICD-10-PCS coding, ensuring compliance with coding guidelines and regulations while maintaining productivity and quality standards. Proficient in medical terminology and capable of abstracting data accurately using 3M encoder/Epic software.
Highest-signal resume keywords
ICD-10-CM CodingICD-10-PCS CodingCPC CertificationClinical Documentation IntegrityMedical Terminology Knowledge
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
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Hard Skills
ICD-10-CM CodingICD-10-PCS CodingData AbstractionMedical TerminologyAnatomy/Physiology KnowledgePathophysiology KnowledgePharmacology KnowledgeMS-DRGs KnowledgeAPR DRGs KnowledgeQuality Reporting Impact Understanding
Soft Skills
Detail-OrientedOrganizedTime ManagementAnalytical SkillsProblem-Solving AbilitiesClient Service SkillsCommunication SkillsPresentation SkillsRelationship-Building SkillsTeam Collaboration
Tools & Technologies
3M EncoderEpic SoftwareMicrosoft Office SuiteGeneral Office Equipment
Certifications & Qualifications
CPCCCSRHITRHIACIC
Industry Keywords
Protected Health Information (PHI)CMS RegulationsCoding GuidelinesHACsPSIsCCsMCCsHCCsFacility Query PolicyCDI Reconciliation Processes
About the role
Key responsibilities & impact- Review low- to moderate-complexity inpatient medical records and assign diagnostic ICD-10-CM and procedural ICD-10-PCS codes
- Code accurately and timely according to coding guidelines, CMS regulations, hospital guidelines, facility-specific guidelines, and federal regulations
- Maintain productivity and quality rates within established standards
- Work within UH billing time frames
- Maintain coding knowledge through written resources, clinical information, and educational webinars
- Maintain knowledge of guidelines and regulations affecting the UHHS Coding Department
- Abstract selected data items and enter them accurately into 3M encoder/Epic software
- Follow facility query policy and CDI reconciliation processes
- Apply critical-thinking and problem-solving processes
- Collaborate with and support the Clinical Documentation Integrity Team
- Complete assignments within time constraints and calendar schedules
- Participate in educational and informational activities
- Perform other assigned duties and comply with policies and standards
- Safely and securely maintain patient Protected Health Information (PHI)
Requirements
What you’ll need- Associate's Degree, preferably in HIM (Required)
- Bachelor's Degree (Preferred)
- 1+ years of ICD-10-CM and ICD-10-PCS coding experience (Preferred)
- Medical terminology, anatomy/physiology, pathophysiology, and pharmacology knowledge
- Knowledge of ICD-10-CM, ICD-10-PCS, MS-DRGs, APR DRGs, ROM, SOI, and POA assignment
- Understanding of CCs, MCCs, HCCs, quality reporting impact, HACs, and PSIs
- Detail-oriented and organized, with time-management, analytical, and problem-solving abilities
- Client service, communication, presentation, and relationship-building skills
- Ability to work independently and as part of a team in a fast-paced environment
- Strong written and verbal communication skills
- Proficiency with PCs, Microsoft Office Suite, general office equipment, and multiple systems
- One certification required upon hire: CPC, CCS, RHIT, RHIA, or CIC
- Ability to safely and securely maintain Protected Health Information (PHI)
- Must maintain current coding credentials
- Physical ability to perform listed duties, including occasional standing/walking/handling, constant sitting/talking/hearing, and lifting or carrying up to 20 lbs rarely
Benefits
Comp & perks- Maintains up-to-date credentials
- Educational and informational activities
- Full-time regular employment
- Remote work option