Title: Certified Inpatient Coding Specialist CCS Location: Florida, USA Job Description: Full time job requisition id JR102294 As Mount Sinai grows, so does our legacy in high-quality health care. Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across the country. We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. Mount Sinai takes pride in being South Florida's largest private independent not-for-profit hospital, dedicated to continuing the training of the next generation of medical pioneers. Culture of Caring: The Sinai Way Our hardworking, tight-knit community of more than 4,000 dedicated employees fosters an environment of care and compassion. Each member plays a vital role in our collective mission to deliver excellent healthcare through innovation, education, and research. At Mount Sinai, we take pride in our achievements, aiming to be a beacon of quality healthcare in South Florida. We welcome all healthcare professionals to join our thriving community and contribute to our pursuit for clinical excellence. Department: Job Description Summary: FLORIDA RESIDENCY REQUIRED (REMOTE) Experienced Inpatient Coding Specialist responsible for accurately coding and abstracting inpatient medical records using ICD‑10‑CM and ICD‑10‑PCS with a minimum 95% accuracy rate. Reviews clinical documentation, assigns codes, validates autosuggested codes, and completes detailed chart abstracts while meeting productivity standards of 2.5 charts per hour. Skilled in Epic and 3M 360 Encompass encoder, and proficient in writing compliant physician queries. Maintains up‑to‑date knowledge of Coding Clinic guidance, official coding guidelines, and internal audit requirements. Ensures timely processing of emails and EPIC work queues, while completing ongoing continuing education to support coding competency in a fully remote Florida‑based role. Position Responsibilities - Performs coding and abstracting on inpatient charts by accurately assigning ICD-10-CM and PCS codes. - Assigns correct ICD-10CM/PCS codes and POA’s to reflect the appropriate DRG, SOI, ROM, with an accuracy rate of 95% or greater. - Performs abstracting of coding and clinical data (I.e. discharge disposition, discharge date, patient type, etc..) with an accuracy rate of 95% or greater. - Pay attention to detail to assure codes reflect the level of specificity supported in the source document - Applies knowledge of disease process, anatomy, and physiology, medical terminology and pharmacology when assigning ICD-10-CM diagnoses codes - Process of Emails, Smarts, CDI, Internal/External Audits daily within a 24 to 48 hour response time. - Selects the principal diagnosis and principal procedure, along with other diagnoses and procedures using UHDDS definitions with a high level of coding accuracy rate - Continually updates knowledge of all coding and reimbursement guidelines and regulations, including but not limited to ICD-10-CM Guidelines for Coding and Reporting - Maintains current knowledge of the information contained in Coding Clinic and the Official Guidelines for Coding and Reporting - Is proficient in using Epic and 3m 360 Encompass encoder. - Is able to write appropriate physician queries. Refers queries to physicians and questions to supervisors as appropriate, complying with all internal audit requirements, (i.e. review charts for Complication/Cormorbidity compliance). - Confirms the accuracy of autosuggested codes by utilizing the evidence review buttons. - Completes 30 hours of Continued Education annually. Qualifications - License/Registration/Certification - RHIA Or RHIT Or CCS REQUIRED - Education - Associates degree in Health Information Management or completion of Coding Specialist Prog or equivalent years of work experience. - Experience - 2 years of coding ICD10-CM/PCS Benefits: We believe in the physical and mental well-being of our employees and are committed to offering comprehensive benefits that fit their personal needs: - Health benefits - Life insurance - Long-term disability coverage - Healthcare spending accounts - Retirement plan - Paid time off - Pet Insurance - Tuition reimbursement - Employee assistance program - Wellness program - On-site housing for select positions and more! Degree Requirements: Certification:

Role Description The Trauma Registrar II is responsible for the accurate collection, validation, and interpretation of data related to trauma patients who meet the American College of Surgeons and the State of Colorado inclusion criteria. This position is a principal Registrar at an American College of Surgeons Level I or Level II center. This associate ensures accuracy and confidentiality in the handling of all trauma data. Assists in the performance improvement initiatives for Trauma Service, validates data, and assists with registry reports and performance at the facility. - Abstracts clinical and demographic data from the medical record and other sources on trauma patients and enters it into the trauma registry based upon the American College of Surgeons National Trauma Data Standard, the State of Colorado, and Trauma Data Dictionaries. - Reviews patient records for events that meet audit filters and medical performance improvement indicators or otherwise indicate a need for review or action. - Reviews and maintains productivity standards for the team per regulatory agencies and department guidelines. - Evaluates the documentation of nursing staff/hospital providers and identifies missing data elements. Reconciles the data as the information becomes available. - Provides input to interpret, monitor, and evaluate policies, procedures, guidelines, and standards pertaining to data use and management. - Accurately conducts E coding, ICD, and AIS coding on trauma patient abstracts. - Actively monitors, identifies, and reports trends with all data and reviews the Trauma Quality Improvement Program as it relates to the registry activities and mentors registry staff and reports to trauma registry and program leadership. - Provides input, interprets, monitors, and evaluates Trauma Service performance utilizing established audit filters, patient outcomes, and established benchmarks. - May assist in compiling reports for regulatory agencies, participating institutions, and committees as directed by Trauma leadership. Identifies and sends data to approved hospital and state authorities as directed. Provides ongoing maintenance and management of the trauma database and may upload data to the American College of Surgeons TQIP and the State of Colorado. - Works autonomously and within a team environment ensuring effective communication with other staff regarding operational issues impacting the database. - Actively participates in quality improvement initiatives and processes. - Assists with preparation for State and ACS certifications and verifications. - Enhances professional growth and development through educational programs, current literature, in-service meetings, and workshops to remain current with industry changes. - Maintains required certifications. - Assists in training trauma registry staff. - Demonstrates effective time management and is proactive in prioritizing workload and meeting productivity requirements. - Adapts to rapidly changing technologies, policies, regulations, census, and staffing through priority setting and flexibility. - Adheres to all data security standards. Qualifications - High School Diploma/G.E.D. Required - Associate Degree Preferred - Healthcare experience or previous coding experience, preferred - Strong organizational skills - Strong written and oral communication skills - Experience in the use of information technology including Microsoft Office software, Excel, and PowerPoint Requirements - Certified Abbreviated Injury Scaling Course from the Association for the Advancement of Automotive Medicine is required within 12 months of hire/transfer. - Registrar Course from the American Trauma Society is required within 12 months of hire/transfer. - Certified Specialist in Trauma Registries from the American Trauma Society is preferred. - Sedentary work - prolonged periods of sitting and exert up to 10 lbs. force occasionally.

Role Description As a Coder, you will ensure precise communication with insurance companies so that services are documented correctly and payments are processed efficiently. Every day you will accurately translate patients’ medical records into standardized codes for diagnoses and treatments. Using your expertise and training, you will ensure compliance with legal, regulatory, and organizational standards. To be successful in this role, you must combine accuracy and attention to detail with a strong knowledge of coding standards and healthcare regulations. Clear communication with providers and staff, along with efficient management of records, ensures claims are processed correctly and on time. - Applies coding principles consistent with government regulatory standards, payer specific guidelines, and company policy. - Codes complex office, surgical and hospital professional charge for assigned providers. - Reviews all ICD, E&M, CPT, and HCPCS codes to ensure documentation supports all services rendered. - Queries providers, as needed, when encounters lack clear or missing documentation in the medical record. - As needed, provides education to Physicians and Providers on coding and documentation. - Assists clinic and other department staff with coding related questions pertaining to assigned providers. Qualifications - High School Graduate or GED - One (1) year professional fee coding experience - Certified Professional Coder or Certified Professional Coder Apprentice or Certified Billing and Coding Certification Requirements - Two (2) years surgical professional fee coding experience (Preferred) - GECB and Cerner experience (Preferred)

• Analyze and interpret complex records to identify and accurately bill for Trauma 1 facility Inpatient services. • Assign and sequence correct diagnostic and procedure codes in compliance with third party payor requirements. • Obtain clarification when presented with conflicting, ambiguous, or non-specific documentation.