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The University of Miami/UHealth Department of Health Information Management has an exciting opportunity for a full-time Inpatient Coder III to work remotely. Under the general direction of the Inpatient Coding Manager, the Inpatient Coder III reviews documentation in the electronic medical record (EMR) and assigns and sequences ICD-10-CM diagnosis codes and ICD-10-PCS procedure codes in accordance with national coding guidelines. The primary focus of this role is to capture all encounter specific diagnoses and procedure codes for accurate reimbursement, data collection, and research purposes.

CORE JOB FUNCTIONS

+ Review, analyze, and interpret the entire electronic medical record (EMR) to identify all diagnoses and procedures documented during a patient’s admission.

+ Determine and assign the principal diagnosis and all significant secondary ICD-10-CM diagnosis codes, in addition to Present on Admission (POA) indicators, and ICD-10-PCS procedure codes, using official coding guidelines and knowledge of anatomy and physiology, medical terminology, and disease processes.

+ Identify cases with clinical indicators that require provider documentation, clarification, and/or specificity to accurately assign codes; collaborate with the Clinical Care Transformation (CDI) team as part of the clinical documentation validation and physician query workflow.

+ Analyze and sequence codes in compliance with ICD-10 official coding guidelines, Uniform Hospital Discharge Data Set (UHDDS), and other regulatory requirements to assure proper Medicare Severity Diagnostic Related Groups (MS-DRG) assignment.

+ Review medical record documentation for major complications and comorbidities (MCC), complications and comorbidities (CC), severity of illness (SOI) and risk of mortality (ROM).

+ Consistently maintain coding accuracy and productivity standards of ≥ 95%.

+ Adheres to University and unit-level policies and procedures and safeguards University assets.

Department Specific Functions

+ Sign into Microsoft Teams for quick and easy communication between management, supervisors, and colleagues.

+ Review Inpatient Priority work queue each morning to rectify any accounts that have been returned due to missing documentation, physician query response, DRG mismatch, etc.

+ Mandatory daily review and reconciliation of any pending audit reviews.

+ Code any high dollar accounts that have been assigned by the coding supervisor or manager.

+ Check IP Uncoded Cardiovascular Special Procedures work queue and code any charts that are available.

+ Review IP Uncoded Interim work queue for any new or returning accounts ready to be coded.

+ Move to the HIM-IP Uncoded Inpatient & Hospice work queue, where charts are assigned to the coder by oldest discharge date and highest dollar utilizing the get next feature.

+ Work claim edits and review accounts from hospital billing.

+ Assist with the payor denial process.

+ Check email often for any correspondence coming from IP coding supervisor/manager, CDI, IT, ect.

+ Attend all scheduled one on one meetings and/or team meetings.

+ Participate in team provided education sessions as well as any AHIMA/AAPC approved continuing education courses to maintain credentials.

This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.

CORE QUALIFICATIONS

+ High School Diploma or equivalent

+ Graduate of an accredited Health Information Technology or Coding program.

+ Minimum 5+ years of current ICD-10-CM/PCS acute care facility coding experience required.

+ Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), &/or Registered Health Information Administrator (RHIA)

+ Experience in coding for academic health system a plus.

+ Skill in completing assignments accurately and with attention to detail.

+ Ability to analyze, organize, and prioritize workload while consistently meeting ≥ 95% productivity and accuracy standards.

+ Understanding of and adherence to the Health Insurance Portability and Accountability Act (HIPAA).

+ Commitment to the University of Miami Health System policies and procedures.

+ Must stay up to date with continuing education requirements to maintain credentials.

+ Ability to work independently and/or in a collaborative environment.

+ Strong background in use of encoder, computer assisted coding, and EMR software applications.

+ Efficient communication skills: interpersonal, verbal, and written.

+ Strong organizational and analytical skills.

+ Demonstrate critical thinking skills, and ability to interpret, assess, and evaluate provider documentation.

+ Proficient with Microsoft Office applications.

+ Ability to sit for long periods of time.

+ Capable of working in a 100% remote environment with little supervision, while also staying focused on assignment tasks.

Any relevant education, certifications and/or work experience may be considered.

#LI-NN1

The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.

UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.

The University of Miami is an Equal Opportunity Employer - Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here (https://www.hr.miami.edu/careers/eo-ada/index.html) for additional information.

Job Status:

Full time

Employee Type:

Staff

Pay Grade:

H10