What are the responsibilities and job description for the Inpatient Reimbursement Coding Specialist - Health Information Management position at uic?
UI Health is seeking an Inpatient Reimbursement Coding Specialist to join our Health Information Management team. This role will be responsible for accurately assigning ICD-10-CM and ICD-10-PC codes to complex inpatient hospital accounts. This position requires the ability to sequence the principal diagnosis, procedures, complications and cormorbid codes while adhering to coding guidelines. Also must be able to assign the the Present on Admission(POA) indicators to the diagnosis code.
This position requires the establishment of Illinois Residency within 180 days of employment.
Duties & Responsibilities:
- Responsible for reviewing the inpatient documentation and applying ICD-10 CM diagnosis and ICD-10-PC procedure codes and apply Present On Admission (POA) indicator to diagnosis code while adhering to inpatient coding guidelines
- Ability to accurately sequence principal diagnosis, complications and cormorbid conditions and procedures to assign the correct Diagnosis Related Groups (DRG) and All Patient Refined (APR-DRG) while adhering to the inpatient coding guidelines
- Ability to write a compliant physician query and collaborate with Clinical Documentation Improvement (CDI) to clarify or resolve conflicting documentation prior to assigning final codes on inpatient accounts.
- Ability to utilize the Computer Assistant Coding (CAC) software to review medical documentation and select codes for billing and reporting purposes.
- Analyze and resolve claim denials that are rejected by edits from the Patient Accounts department.
- Provide guidance to other departmental staff in identifying and resolving coding issues or errors.
- Keeps up to date with coding changes and guidelines governing medical record coding and documentation.
- Ability to maintain the national standards for coding accuracy and internal standards for productivity
- Maintains continuing educations hours as dictated by certification standards.
- Perform other related duties and participate in special projects as assigned.
