Medical Coding Specialist II - Inpatient (Remote) - Swedish American

Pay Range: $28.79 - 43.18/ hour

Additional components of compensation may include:

• • Evening & night shift differential
  • Overtime
  • On-call pay

Benefits information: https://careers.uwhealth.org/benefits/

At UW Health in northern Illinois, you will have:

• Competitive pay and comprehensive benefits package including: PTO, Medical, Dental, Vision, retirement, short and long-term disability, paternity leave, adoption assistance, tuition assistance

• Annual wellness reimbursement

• Opportunity for on-site day care through UW Health Kids

• Tuition reimbursement for career advancement--ask about our fully funded programs!

• Abundant career growth opportunities to nurture professional development

• Strong shared governance structure

• Commitment to employee voice

POSITION SUMMARY:

The Medical Coding Specialist II - Inpatient is responsible for reviewing documentation in the electronic medical record and assigning and sequencing ICD-10-CM diagnosis codes and ICD-10-PCS procedure codes, in accordance with the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and in compliance with ICD-10 Official Coding Guidelines and other regulatory requirements.

The Medical Coding Specialist II - Inpatient is proficient with the various Diagnosis Related Groups (DRG) methodologies, including Medicare Severity DRGs (MS-DRGs) and All Patient Refined DRGs (APR-DRGs). The Medical Coding Specialist II - Inpatient codes all case types: including, transplant, major trauma and mortality records, as well as any accounts identified for interim billing or tentative DRGs. The Medical Coding Specialist II - Inpatient participates in the compliant physician query process and will collaborate with the Clinical Documentation Integrity Specialist (CDIS) team regarding clinical validation queries and the DRG reconciliation process as applicable. The Medical Coding Specialist II - Inpatient will partner with the Inpatient Coding Quality Analysts and the Inpatient Coding Supervisor for education and quality monitoring.

The Medical Coding Specialist II - Inpatient will assist in any quality metric questions which may arise. This individual may assist with responding to external coding reviews from private payers as well as government contractors. The Medical Coding Specialist II - Inpatient will interact with physicians and other clinicians with minimal supervision as it pertains to coding and documentation.

EDUCATION/TRAINING:

High School Diploma or equivalent and Medical Coding Education. In lieu of a medical coding education, an active coding certification is required. Graduate of a Health Information Technology program preferred.

LICENSURE/CERTIFICATION:

Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA).

EXPERIENCE/SKILLS/ABILITIES:

Two years of progressive inpatient facility coding experience. Two or more years of inpatient facility coding experience in an Academic Medical Center and/or Level 1 Trauma Center preferred.

• Knowledge of, but not limited to, current Official Coding Guidelines and methodologies, MS-DRGs, APR-DRGs, the ICD-10-CM/PCS coding systems and conventions.
• Extensive knowledge of medical terminology, anatomy and pathophysiology, pharmacology and ancillary test results
• In-depth knowledge of complex medical and coding concepts encountered in an Academic Medical Center.
• Knowledge of coding systems and regulatory requirements of Inpatient Prospective Payment System (IPPS)
• Proficiency with encoder software and other coding applications/tools
• Strong communication skills (interpersonal, verbal and written).
• Serve as a subject matter expert to Clinical Documentation Improvement Specialists, colleagues and clinicians.
• Strong organizational and analytical thinking skills
• Demonstrates critical thinking skills, and ability to interpret, assess, and evaluate provider documentation.
• Proficient with Microsoft Office applications (Outlook, Word, Excel)
• Self-motivated and demonstrated capacity to work independently without close supervision. This position has the potential to work remotely.
• Must be able to work flexible hours which may include weekends as required to meet business needs.
• Ability to quickly analyze a situation, problem solve and prioritize.
• Familiarity with the external reporting aspects of healthcare

Knowledge of external auditing programs; ex.: Recovery Audit Contractor (RAC), Office of the Inspector General (OIG), third-party payors.

Our Commitment to Diversity, Equity, and Inclusion

UW Health is committed to being a diverse, inclusive and anti-racist workplace and is an Equal Employment Opportunity, Affirmative Action employer. Our integrity shines through in patient care interactions and our daily work practices as we work to embrace the knowledge, unique perspectives and qualities each employee and faculty member brings to work each day. Applications from Black, Indigenous and People of Color (BIPOC) individuals, LGBTQ+ and non-binary identities, women, persons with disabilities, military service members and veterans are strongly encouraged. EOE, including disability/veterans.

ESSENTIAL FUNCTIONS:

PI255972847