• Code medical records to validate ICD-10-CM codes for PACE Risk Adjustment • Meet department production and quality standards • Research regulatory guidelines for supporting documentation • Prepare coding reports using excel • Prepare oral and/or written reports of work activity to Supervisor • Be responsible and accountable for maintaining the confidentiality, integrity, and availability of protected health information. • Follow HIPAA security policies and procedures affecting your job, and report any suspected or actual violation or breach • Other duties as assigned

• Assigns accurate ICD diagnosis codes, using compliant documentation. • Assigns accurate CPT/HCPCS codes to records, using compliant documentation. • Applies knowledge of Coding Guidelines to select the appropriate diagnosis code. • Uses available research and reference tools to understand the disease process and diagnosis. • Interprets physician documentation within the coding guidelines and obtains clarification from physicians regarding vague or ambiguous record documentation. • Enhances coding knowledge and skills with continuing education activities as described in HIM.COD.003 policy and by reviewing pertinent literature.

Role Description Baptist Medical Center Jacksonville is currently hiring for a Full-time Team Lead to join our Inpatient Coding team. This candidate will assist the Manager/Supervisor in coordinating daily operations ensuring accurate, compliant, and timely coding of Inpatient records to optimize revenue. They will also be responsible for orientation and training of new staff. This is a remote position. Inpatient Coder Team Lead Responsibilities include: - Responsible for correctly identifying and assigning diagnosis and procedure codes using the ICD-10-CM/PCS Classification System to each patient's record for optimization in accordance with State and Federal requirements on Inpatient accounts. - Be knowledgeable of CPT codes, edit resolution and assigning CPT-4 Codes on Observation accounts when applicable. - Verifies and submits abstracted UB04 information across the billing system for claim submission. - Must efficiently complete this activity for 100% of patient's discharged records daily to maintain the Coding A/R goals set forth. - Works ACHA, DNFB and Post Bill error reports, such as A/B rebills, Claim Edits, and Denials when applicable. - Advises and coordinates with Management, CDI and HIM on coding documentation. - Provides support to Coders, CDI and other staff via mentorship, and possesses auditing and training skills. - Requires critical thinking skills, effective communication skills, decisive judgement and the ability to work with minimal supervision. - Must be focused and detail oriented and have effective time management skills. - Proficient in basic computer skills and able to utilize a computerized encoder and EHR. Qualifications - High School Diploma - Bachelor of Science (non Nursing) preferred - Associate of Science preferred - Certified Coding Specialist - AHIMA - Registered Health Information Technician (RHIT) - AHIMA - Certified Coding Specialist - AHIMA Requirements - 3-5 Years Experience working in an Acute Care setting - Knowledge base in Coding Clinic Guidelines - Knowledge base in Physiology - Knowledge base in Anatomy - Candidate must reside in the following approved states: Alabama, Florida, Georgia, Idaho, Indiana, Kentucky, Louisiana, Mississippi, North Carolina, Ohio, Oklahoma, Oregon, South Carolina, South Dakota, Tennessee, Texas, Virginia, West Virginia, Wyoming. Company Description Recognized as a top place to work in health care, Baptist Health cares for more patients in Northeast Florida than any other provider, ranking as “most preferred” for more than 30 years. We’re Jacksonville's only locally governed, faith-based, not-for-profit health system and provide a full spectrum of preventive and specialty care through 200+ locations and six hospitals. Our centers of excellence include Baptist MD Anderson Cancer Center, Baptist Heart Hospital, Baptist Neurological Institute and Wolfson Children's Hospital. For more than 25 years, health care consumers have named Baptist Health the "most preferred healthcare provider" in the region. At Baptist Health, we are proud to be local, providing multigenerational care to our community. We are the hospital Jacksonville trusts the most. Our employees can take pride in their Baptist Badge, knowing the impact they make on their friends, family, and neighbors. Baptist was recently recognized by Forbes magazine as one of America’s top employers for diversity.

Role Description The Health Information Coder III, Per Diem is a senior-level inpatient coder with the knowledge and skill set to utilize the ICD-10-CM and ICD-10-PCS classification systems to code acute academic, teaching inpatient cases. The skill set extends to knowledge and comprehension of code sequences into Diagnoses-Related Groups on acute academic, teaching inpatient cases. Cases are coded to comply with the official guidelines for coding and reporting, practice standards and code of ethics for HIMS coder. Cases are abstracted according to UCSF Health policies and procedures. The focus of coding and abstracting is on a range of all primary hospital services. There is minimal review of coding for quality. Duties and Essential Job Functions - Retrieve and analyze comprehensive medical records and information systems for appropriate documentation and follow-up as appropriate. - Evaluate full episode of care of clinical data for inpatient cases and assign appropriate codes using ICD-10-CM and ICD-10-PCS classification systems. - Includes assessment of the condition and diagnosis to conclude the coding of clinical data and DRG assignment. - Meet external requirements for HCAI, HCFA, The Joint Commission, NCQA and payor data requirements. - Accurately input codes and abstract data into current coding databases. - Participate in coding audits and coding educational sessions and provide feedback and training. - Meet or exceed department production standards for the DRG coding level. - Meet or exceed department quality standards for the DRG coding level. - Maintain knowledge of current medical terminology, disease processes, anatomy & physiology, and current DRG coding guidelines. - Follow-up and clarify physician documentation (dictation and clinical notes). - Report to a lead or manager. - Interact with internal and external UCSF Health staff and customers. - Satisfactory time and attendance. Other Functions and Responsibilities - Demonstrate understanding of DRG coding mission within UCSF Health. - Demonstrate understanding of DRG coding, AR, and data submission information flow. - Ability to solve problems and troubleshoot computer issues. - Perform data searches. - Maintain patient confidentiality and IT security. - Treat others with respect and work well on a team. - As requested, train others. - Follow safety and infection control guidelines. - Maintain equipment and work area. - Comply with the UCSF Health dress code. - Other duties as assigned.