Coding Specialist III - Inpatient

Job Duties

• Responsible for coding concurrent or retrospective inpatient accounts using ICD-10 CM/PCS, in compliance with the Official Coding Guidelines and conventions.
• Accurately identifies most appropriate Admit Diagnosis, Principal Diagnosis, and Procedure for the DRG, and all secondary diagnoses to accurately reflect all CC/MCC's, POA status, and Severity of Illness and Risk of Mortality.
• Accurately abstracts required data elements including, discharge disposition, discharge destination, procedure dates and physician(s), and other designated data.
• a) Identifies when a physician query is appropriate for further clarification. b) Recognizes when the documentation is missing or incomplete and routes appropriately. c) Completes review and final coding when query and/or documentation is available.
• Maintain the Quality Standards set by UTSW/HIM Coding.
• Maintain the Productivity Standards set by UTSW/HIM Coding.
• Mentor/train on designated coding service lines as requested to ensure quality.
• Maintains an expert level of knowledge of coding related guidelines and practices.
• Other duties as assigned

• Experience
  3 years to 5 years acute hospital based coding experience.
  Experience working in a remote environment required for PRN Coders.
  An equivalent combination of education and experience may be considered.
   

• Licenses and Certifications
  (RHIA) REGD HEALTH INFO ADMINIST Upon Hire or
  (RHIT) REGD HEALTH INFO TECHNOLO Upon Hire or
  (CCS) CERT CODING SPECIALIST Upon Hire
   

• Education
  Associate's Degree in Health Information Management and/or closely related field or
  Bachelor's Degree in Health Information Management and/or closely related field
   

• Experience
  Experience working in a remote environment preferred.
   

Knowledge, Skills and Abilities

• Work requires ability to comprehend, understand, and follow established policies, procedures, and other guidelines of some complexity.
• Work requires ability to handle multiple tasks, show initiative, and adjust to changes as appropriate under a stressful environment.
• Work requires ability to perform in a conservative, fast-paced, and quality driven environment.
• Work requires ability to report and problem solve using discretion, judgment, and professionalism.
• Work requires excellent customer service, interpersonal, and communication skills (verbal and written).
• Work requires organizational skills along with a high level of accuracy and attention to detail.
• Work requires self-motivation, maturity, and being a team player.
• Work requires strong analytical and critical thinking skills.

• Physical Deman