CommonSpirit Health is a nonprofit organization that is on a mission to improve people’s health while making “the healing presence of God known.” The orga
Revenue Cycle Coder III-Inpatient Coding
Location
Illinois
Posted
8 days ago
Salary
$31 - $51 / hour
Seniority
Mid Level
No structured requirement data.
Job Description
Revenue Cycle Coder III-Inpatient Coding
CommonSpirit Health
Role Description As our Advanced Coding & CDI Educator, you will leverage your expert knowledge in ICD-10-CM, ICD-10-PCS, and CPT-4 coding to drive excellence in our health information management (HIM) department. This critical role focuses on: - Elevating coding accuracy - Enhancing Clinical Documentation Improvement (CDI) practices - Ensuring system-wide compliance with evolving regulatory standards You will be instrumental in fostering a culture of continuous learning and precision, directly impacting our revenue cycle integrity and healthcare data quality. Every day you will: - Serve as a primary resource for complex coding and billing inquiries, providing authoritative guidance and problem-solving expertise - Design, develop, and deliver comprehensive coding and CDI education programs - Onboard new staff and conduct targeted training sessions across the health system - Perform rigorous coding and DRG validation audits, identifying areas for improvement and facilitating follow-up education - Monitor and communicate regulatory coding and billing changes, translating them into actionable implementation plans - Promote standardization of best practices - Act as a vital liaison, fostering collaborative relationships with CDI specialists, physicians, clinical quality, and patient financial services To be successful in this advanced role, you will possess: - Expert-level knowledge of current coding classification systems (ICD-10-CM/PCS, CPT-4) - A deep understanding of CDI methodologies - A proven track record in adult education and curriculum development - Strong analytical skills for conducting coding audits and identifying educational needs - Exceptional communication, collaboration, and interpersonal skills - Relevant coding certifications (e.g., CCS, RHIA, CDIP) Your responsibilities will also include: - Accurately assigning codes from the current ICD classification systems for inpatient accounts - Creating MS-DRG/APR-DRG assignments while adhering to coding guidelines, regulations, and compliance plan - Abstracting additional data elements as identified by enterprise, such as administrative codes - Coding all service lines of inpatient accounts - Communicating effectively, staying organized, and demonstrating effective time management skills - Adhering to the ethical standards of coding as established by AAPC and/or AHIMA - Maintaining required levels of performance in both coding quality and productivity Qualifications - High School Diploma/GED required with 3+ years of recent acute care coding experience, OR an Associate's Degree in HIM/RHIT - Must possess CCS, RHIA, or RHIT certification - Minimum of 3+ years recent coding experience in an acute care setting, ideally within a large multi-facility organization - Proven expertise in coding complex conditions and procedures, including major trauma, CV, orthopedic, and neurosurgery - Demonstrated success with 3+ years of experience working effectively in a remote environment - Proficient with 3+ years of experience utilizing various encoder and EMR systems such as Meditech, Epic, and Cerner - Expert-level understanding of ICD (diagnostic and procedural) and CPT-4 coding classification systems Requirements - 4-6 years of recent inpatient medical coding experience (hospital, large multi-facility organization, etc.) - Bachelor's degree in HIM preferred
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