Overview

Location: Virtual EmployeeInpatient Experience Required - Remote work for TX, AR, WI and FL ONLYPrimary PurposeThe primary purpose of the Coding Specialist III is to code and verify data necessary to ensure correct coding, abstracting, and billing on inpatient (IP) encounters. This position requires the coder to be highly proficient in the proper assignment of ICD-10 CM, PCS, CPT, HCPCS. HCC, HEDIS CAT II and modifier codes for both professional and hospital charging, coding and billing. Demonstrates the ability to provide direction to coding staff as it relates to coding integrity, established coding guidelines and Parkland's policies to ensure accuracy of recorded patient medical information and appropriate reimbursement for services rendered.Education•High school diploma required•Must have successfully completed an approved coding program•OR Must be a graduate of a health Information Management program.•OR Must be CCS CertifiedExperience•Must have three (3) years of coding experience in an acute care hospital environment.•Physician office coding, charging and billing experience preferredEquivalent Education and/or Experience•May have an equivalent combination of education and/or experience in lieu of specific education and/or experience as stated above.Certification/Registration/Licensure•Because of the lag in SCCE, HCCA, NCRA, and AHIMA updating the status of certifications, current employees whose certification is granted through one of these associations are allowed up to seven (7) calendar days, after expiration, to provide proof of renewal. Although an additional seven (7) calendar days is allowed to provide proof of renewal, there cannot be a lapse in the certification's "active" status.•Must be certified through the American Health Information Management Association as one of the following:Registered Health Information Management Technician (RHIT)Registered Health Information Management Administrator (RHIA)Certified Coding Specialist (CCS) - (Most desired of the certifications)•OR Must be certified through the American Association of Procedural Coders (AAPC) as one of the following:Certified Inpatient Coder (CIC)Required Tests for Placement•Must score a minimum of 85% on a pre-employment inpatient/outpatient coding test. Contract coders with a proven coding accuracy rate of 95% at Parkland Health and Hospital System are exempt from this requirement.Skills or Special Abilities•Must be able to demonstrate advanced knowledge of ICD-9/ICD-10-CM/PCS coding and abstracting, MS-DRG classification and reimbursement structures, applicable coding edits and general knowledge of Local Coverage. Also prefer knowledge to apply CPT, HCPCS, HCC, HEDIS CAT II and modifier code assignment.•Must score a minimum of 85% on a pre-employment coding test. Contract coders with a proven coding accuracy rate of 95% at Parkland Health and Hospital System are exempt from this requirement.•Demonstrate knowledge of reimbursement (Medicare and Medicaid) principles.•Advance knowledge of medical terminology, the human disease process, anatomy and physiology.•Demonstrate good organizational and leadership skills.•Must be able to effectively communicate, both orally and in writing.•Demonstrate knowledge of computer software applications including MS Office and Computer Assisted Coding (CAC).•Knowledge of Epic EHR and 3M 360 coding and abstracting software is preferred.ResponsibilitiesAssigns appropriate principle and secondary diagnosis and procedures codes for all episodes of care on inpatient encounters ensuring appropriate DRG assignment according to ICD-10-CM/PCS conventions, guidelines and hospital policy.Achieve and maintain 95% accuracy on quality reviews and meet assigned productivity standards.Abstract statistical data from the medical record and enter information according to Parkland's guidelines, policies and proceduresDemonstrate knowledge of billing, charging and coding requirements for governmental g