This the third level of a 4-tier career path. Under the general direction of the Inpatient Coding Manager or Director, this position is responsible for the accurate assignment of ICD-9-CM diagnostic and procedural codes (ICD-10-CM/PCS) for inpatient records; abstracting to determine accuracy and completeness of the inpatient record, utilizing the 3M Coding Reimbursement/Epic System to compile data and related work assigned. Coding staff in this position are able to code encounters of multiple specialties, as well as mentor and train other coding levels. This position is differentiated from the Coder II level by the skill and independence to handle complex inpatient coding scenarios. Data reported is used to meet licensure requirements, statistical purposes and reimbursement purposes.
Required Minimum Knowledge, Skills, and Abilities (KSAs)
Education: Associates Degree in Health Information Management and/or Bachelors' Degree in Health Information Management, or other science-based degree such as nursing preferred.
License/Certifications: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Registered Nurse (RN), Certified Inpatient Coder (CIC), Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) required.
Experience:Minimum of 1-2 years' experience as an inpatient coder at an acute care or academic teaching facility required or successful completion of inpatient coding apprenticeship program.
Proficiencies: Advanced coding skills and knowledge of revenue cycle, billing systems, EPIC Electronic Health Record and 3M Encoder, ICD-10 training, Computer Assisted Coding software (CAC); effective communication to serve as a knowledge resource and mentor on coding and compliance issues. Demonstrates ability to work effectively and collaboratively with Clinical Documentation Improvement Specialists (CDIS) and other healthcare professionals.
Specialized Knowledge: Comprehensive knowledge of disease processes, clinical science, anatomy & physiology, pathophysiology, pathology and laboratory medicine; knowledge of ICD-9-CM Official Guidelines, as well as ICD-10 training, for Coding and Reporting, AHA Coding Clinic and CMS regulations.
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At MaineHealth, exceptional people using the latest in advanced innovations help ensure that our northern New England communities are the healthiest they can be. From a full array of telehealth programs to the most sophisticated electronic medical records system, our clinical technology is second to none. But it’s our people who bring these medical advancements to life as they change the lives of the people in the communities we’re proud to serve.
As a non-profit family of high-quality healthcare providers, we’re working together to create strong, vibrant and healthy partnerships. We are an integrated healthcare delivery system made up of the state’s only academic medical center (and largest hospital), a large bio-medical research center, community hospitals, home care agencies, physician practices, an outpatient lab, and diagnostic and surgery centers. In addition to our clinical opportunities, MaineHealth also offers a variety of fulfilling careers in finance, human resources, information services, marketing, support services, and more!
The MaineHealth family of hospitals and healthcare organizations offers outstanding opportunities to work and live in one of the most spectacular areas of our nation. Our ongoing growth and focus on compassionate care mean a choice of challenging and rewarding career opportunities throughout our system – from mid-sized cities and small towns in the mountains to beautiful coastal communities.
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