MedStar Health

Introduction:

Job Summary

• Responsible for assisting Inpatient APR (All Patient Refined) Coding Operation Manager with daily activities to include assisting coding staff with coding questions, scheduling, and mentoring.

Primary Duties and Responsibilities

• Abstracts and ensures accuracy of diagnosis, procedure, patient demographics, and other related data elements.
•  Assists with coding as needed.
•  Consistently meets or exceeds established Quality, Accuracy and Productivity standards as defined by policies.
• Contacts physician when conflicting or ambiguous information appears in the medical record. Requests diagnosis from physicians when not recorded on discharge.
• Contributes to the achievement of established department goals and objectives and adheres to department policies, procedures, quality standards and safety standards. Complies with governmental and accreditation regulations.
• Determines the sequence of diagnoses according to uniform hospital discharge data definitions and assigns appropriate DRG.
• Has knowledge of coding compliance plan, directs efforts to achieving plan by focusing on areas identified through coding reviews or targeted by management for improvement.
• Maintains continuing education. Maintains credentials for required job classification.
• Monitors accounts receivables daily and works with various departments (i.e. HIM-Health Information Management, Patient Access, etc.) to resolve problem accounts.
• Participates in multidisciplinary quality and service improvement teams as appropriate. Participates in meetings, serves on committees and represents the department and hospital/facility in community outreach efforts as appropriate.
• Performs other duties as assigned.
• Provides input into the evaluation system.
• Responsible for coordinating and maintaining daily work flow for assigned staff.
• Responsible for the timely reconciliation process for any internal or external department coding reviews (core measures, CDI-Clinical Documentation Improvement, MHAC’s-Maryland Hospital Acquired Condition’s, etc.) to ensure compliance.
• Reviews, analyzes and interprets medical record documentation to identify diagnoses and procedures. Assigns correct ICD diagnostic and procedural codes using standard guidelines and automated encoding software maintaining departmental accuracy standards.
• Serves as a resident expert on coding and assists coding associates with resolving coding questions and provides mentoring.
• Under the direction of the coding manager, assists with coding related tasks such as mentoring, writing reports, working outstanding PFS accounts, monitoring staff productivity or quality, etc.

Education/Training

• High School graduation or equivalent; Bachelors degree preferred.

Experience

•  3 years inpatient coding experience, experience with APR severity grouper preferred. Experience with clinical information systems (3M grouper, Soft-Med, Electronic Medical Record, etc.). 2 Years operational and/or supervision experience preferred.

License/Certification/Registration

• CCS (Certified Coding Specialist). RHIT (Registered Health Information Technician) or RHIA (Registered Health Information Administrator) preferred.

Knowledge, Skills & Abilities

• Excellent verbal and written communication skills. Basic computer skills required. Clinical system software skills (3M, electronic medical record, etc. ). Strong knowledge of Maryland Payment and regulatory systems.

Apply Online: https://www.medstarhealthjobs.org/job/8807816/team-lead-coding-operations-baltimore-md/

MedStar Health

Welcome to MedStar

We are largest healthcare provider in Maryland and the Washington, D.C. metro area, consistently recognized regionally and nationally for excellence in medical care. Join us as we expand our health network across inpatient, outpatient, and home care service lines.

Our People and our Philosophy

Our 30,000 associates and 6,000 affiliated physicians have a singular focus: go above and beyond to provide the highest quality of patient care, close to where our patients live and work. This is our mission and this is what we believe in.

Job Description:

Responsible for maintaining administrative, operational, and technical aspects of the Inpatient MS-DRG (Medicare Severity Diagnosis Related Groups) Coding Operations. Ensures that Coding is completed in established time frames to maintain financial stability of the organization.

Qualifications

• EXPERIENCE: 5 Years inpatient coding experience, experience with MS-DRG (Medicare Severity Diagnosis Related Groups) grouper preferred. 3 years experience with clinical information systems (3M grouper, Soft- Med, Electronic Medical Record, etc.). 3 Years operational and/or supervision experience preferred.
• SKILLS: Excellent verbal and written communication skills. Basic computer skills required. Clinical system software skills (3M, electronic medical record, etc.). Data evaluation and analysis experience. Strong knowledge of DRG (Diagnosis Related Groups) payment and regulatory systems. Supervisory skills.

Education Qualifications:

• EDUCATION: High School graduation or equivalent; Bachelors degree preferred.
• LICENSE/CERT/REG: CCS (Certified Coding Specialist) certification. RHIT (Registered Health Information Technician) or RHIA (Registered Health Information Administrator) preferred.

Apply Online: https://www.medstarhealthjobs.org/job/8313827/manager-of-inpatient-coding-operations-ms-drg-baltimore-md/