SIGN IN
Reimbursement Coding Specialist - UI Health, Health Information Management jobs in United States
cer-icon
Apply on Employer Site
company-logo

UI Health · 8 hours ago

Reimbursement Coding Specialist - UI Health, Health Information Management

UI Health is a comprehensive health care provider dedicated to health equity. The Reimbursement Coding Specialist applies ICD-10-CM and ICD-10-PC codes to inpatient hospital accounts, ensuring accurate documentation and coding while collaborating with Clinical Documentation Specialists.
Health CareHospital

Responsibilities

Ability to sequence and assign ICD-10-CM/PCS diagnosis and procedure codes to complex inpatient visits by following the coding guidelines
Proficient in interpreting medical documentation to determine the principal diagnosis and procedures codes and to assign the correct Present on Admission (POA) indicator to all codes
Assigns the correct Diagnosis Related Groups (DRG) and All Patient Refined (APR-DRG) while adhering to coding guidelines for sequencing
Ability to write a compliant physician query and collaborate with Clinical Documentation Improvement (CDI) to clarify or resolve conflicting documentation prior to assigning final codes on inpatient accounts
Ability to utilize the Computer Assistant Coding (CAC) software to review medical documentation and select codes for billing and reporting purposes
Analyze and resolve coding denials from insurances companies and patient accounts
Follows internal workflows for accounts that has documentation or other errors that has to be resolved before coding
Follows the official ICD-10-CM, ICD-10-PC guidelines for coding and reporting
Keeps up to date on coding changes and other changes to regulations that governs medical record coding and documentation
Ability to maintain the national standards for coding accuracy and internal standards for productivity
Maintains continuing educations hours as dictated by certification standards
Maintains confidentiality of patient health information
Perform other related duties and participate in special projects as assigned

Qualification

ICD-10-CM codingICD-10-PCS codingDRG assignmentCAC software proficiencyCertified Coding SpecialistCollaboration skillsAttention to detailConfidentiality

Required

High school diploma or equivalent
Current certification as a Certified Coding Specialist (CCS) or Certified Coding Specialist—Physician-based (CCS-P) or Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) by the American Health Information Management Association (AHIMA), or current certification as a Certified Professional Coder (CPC) or a Certified Outpatient Coder (COC) by the American Academy of Professional Coders (AAPC) (formerly CPC-H certification)
One (1) year/twelve (12) months of work experience comparable to that performed at the Reimbursement Coding Representative level of this series or in other positions of comparable responsibility

Preferred

At least 2 years of experience coding Inpatient accounts at an acute care preferably academic hospital that has a complex case mix index (CMI) with medical services such as transplant, neurosurgery, oncology, vascular surgery and cardiology
Also the candidate must be able to collaborate with Clinical Documentation Specialist to assist with clarification of documentation for complete and accurate coding

Benefits

Health
Dental
Vision
Life Insurance
A Retirement Plan
Paid time Off
Tuition waivers for employees and dependents

Company

UI Health

twittertwittertwitter
company-logo
UI Health is a patient-centered organization providing safe, high-quality, and cost-effective care for patients is foremost responsibility.

Funding

Current Stage
Late Stage

Leadership Team

leader-logo
Ari Rubenfeld
Associate Chief Medical Officer
linkedin
leader-logo
Ashly O.
Human Resources Business Partner (HRBP)
linkedin
Company data provided by crunchbase