Inpatient Coding Specialist II
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Job Description
Inpatient coding specialist assigning ICD-10 codes and DRGs for Stanford Health Care. Reviewing records, abstracting data, and supporting compliant hospital revenue-cycle processing.
Responsibilities:
- Review medical record documentation and assign accurate ICD-10-CM/PCS diagnosis and procedure codes
- Assign MS-DRGs or APR-DRGs, POA indicators, discharge disposition, and sources of admission
- Abstract required data according to facility specifications
- Monitor Discharged Not Billed accounts and support timely, compliant inpatient account processing
- Collaborate with Clinical Documentation Specialists and medical staff to ensure complete documentation
- Maintain coding accuracy and established quality and productivity standards
- Review CMS requirements, CCI edits, HACs, PSIs, NCDs, LCDs, and applicable modifiers
- Use Epic, 3M Coding and Reimbursement System, 3M CDIS, 3M Audit Expert, MS Office, and abstracting systems
- Follow Stanford Health Care policies, coding guidelines, AHIMA standards, AHA Coding Clinic guidance, and applicable regulations
- Attend required meetings, educational sessions, and annual learning programs
Requirements:
- High School Diploma or GED equivalent
- Five (5) years of progressively responsible and directly related work experience
- Successful completion of the Coder Proficiency Exam (pre-hire)
- RHIA, RHIT, or CCS certification
- Ability to apply ICD-10-CM/PCS and CPT-4 coding conventions
- Ability to abstract information from medical records and assign accurate MS-DRG and APR-DRG codes
- Knowledge of MS-DRGs, APR-DRGs, CCI, CMS compliance issues, medical terminology, anatomy and physiology, and diseases
- Knowledge of health information systems and computer systems/software used in the functional area
- Ability to comply with AHIMA’s Code of Ethics and Standards and apply UHDDS standards
- Ability to work independently, prioritize, multitask, meet deadlines, solve problems, and adapt to change
- Strong written and oral communication, critical thinking, judgment, and decision-making skills
Benefits:
- Base pay scale of $66.10–$74.44 per hour
- Required annual learning programs and educational sessions
- Equal opportunity employment and consideration for qualified applicants with criminal convictions after individualized assessment
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