Yale New Haven Health System

  • INPATIENT CODING SPECIALIST

    Job Locations US-CT-New Haven
    Job ID
    66491
    Department
    HIM CODING
    Category
    HIM/MEDICAL RECORDS
    Position Type
    Full Time Benefits Eligible
    Scheduled Hours
    40
    Work Schedule
    FLEX POSITION
    Work Days
    VARIABLE
    Work Hours
    VARIABLE
    Work Shift
    EMPLOYEE WILL NEED TO BE FLEXIBLE AND WORK FOR THE NEEDS OF THE DEPARTMENT
    Requisition ID
    2018-20311
  • Overview

    To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values—integrity, patient-centered, respect, accountability, and compassion—must guide what we do, as individuals and professionals, every day.

    The Inpatient Coding Specialist is a vital multifaceted role within the Inpatient Coding Department. This position supports the Inpatient Coding Department and external customers as coding content experts, educators, resource expert including, but not limited to, medical coding of newborns, obstetrics, psychiatry, rehabilitation, medical and surgical coding. Responsibilities include activities contributing to the overall success of the Inpatient Coding Department as well as the health system. Performs a variety of coding duties to assure quality of coding and the efficient operation of the department. Provides significant education among the coders in the department as well as conducts regular audits on records completed.

    EEO/AA/Disability/Veteran

    Responsibilities

    • 1. Coding Expectations - Inpatient Coding Specialists are expected to perform basic coding functions within departmental established guidelines.
      • 1.1 Expected to production code 20% of their time to stay current with trends in coding.
    • 2. Content Knowledge - Inpatient Coding Specialists are required to maintain industry specific certifications and remain up to date on changes within in the industry.
      • 2.1 Maintains Certified Coding Specialist (CCS) designation per the guidelines set forth by the American Health Information Management Association.
    • 3. Financial - Inpatient Coding Specialists are expected to understand the financial impact of their primary duties and work to resolve issues in a timely manner.
      • 3.1 Assists in meeting the corporate Candidate for Billing (CFB) goals by ensuring waiting cases are completed in the timeliest manner via daily review.
    • 4. Education - Inpatient Coding Specialists are expected to lead by example and pass knowledge onto less experienced coders.
      • 4.1 As assigned, trains, orients and mentors staff to the electronic tools and resources used to code medical records as well as the industry standard guidelines and processes and the departmental rules and guidelines to ensure correct and consistent coding and DRG assignment as reflected in QA statistics.
    • 5. Coding Compliance/ Institutional Risk - Inpatient Coding Specialists are expected to identify risk areas and work towards preventative strategies.
      • 5.1 Focus of target records may change on occasion, however, audits will target high risk DRG's (AICD's, Gamma knife, pneumonia) according to the OIG, HCFA or any other governing body analyzing inpatient medical coding as an area of financial risk for the facility or the payer. Audits may stem from PEPPR Reports, new technologies (Mitra clip, Kcentra, Impella Pumps, etc.).
    • 6. Clinical Documentation Improvement - Inpatient Coding Specialists are expected to identify documentation and coding query opportunities and refer them to CDI for resolution.
      • 6.1 Maintains an active advanced knowledge of clinical indicators for all diagnoses as to identify clinical educational moments for staff and query opportunities for partner Clinical Documentation Improvement Specialists (CDIS).
    • 7. Problem Solving - Inpatient Coding Specialists are expected to demonstrate flexibility and critical thinking throughout their workflow.
      • 7.1 Troubleshoots billing issues in collaboration with billing staff and ensures the coding is correct per coding guidelines. Correct codes based on accurate coding guidelines and not for the purposes of billing.
    • 8. Reporting - Inpatient Coding Specialists will need to provide leadership data and reports occasionally.
      • 8.1 Arranges data and information in a manner that could be presented to organization executives.
    • 9. Standards of Performance & Communication - All YNHH employees are expected to demonstrate professional behavior and respect in all their interactions.
      • 9.1 Adheres to Yale New Haven Health Standards of Professional Behavior: Patient-Centered Care, Respect, Compassion, Integrity, and Accountability.
      • *cb

    Qualifications

    EDUCATION

     

    Bachelor's Degree required with additional training in medical terminology, anatomy, and physiology. Certified Coding Specialist (CCS) certification required. RHIT/RHIA preferred.

     

    EXPERIENCE

     

    Minimum of five (5) to seven (7) years' experience coding inpatient medical records. Actively involved in coding activities since implementation of ICD-10.

     

    LICENSURE

     

    CCS certification required. RHIT/RHIA preferred.

     

    SPECIAL SKILLS

     

    Ability to prioritize and organize the work of other. In-depth knowledge of medical terminology, anatomy, and physiology. Comprehensive understanding in use of ICD-10. Excellent oral and written communication skills, ability to exercise good judgment. Knowledge of personal computers and related software. Ability to train new and existing staff members in the application of all coding systems, as well as knowledge of the PPS system (DRG's and APC's) and ability to resolve coding and billing issues as it relates to the above.

     

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