Clinical Coding Speciaist

City/State

Work Shift

Overview:

Codes complex inpatient records to include Trauma Level I, transplant, and multiple complex surgical procedures. Reviews clinical documentation and diagnostic results as appropriate to extract data and apply ICD-10-CM/ICD-10-PCS and CPT-4 codes for hospital reimbursement, mortality & morbidity outcomes, governmental compliance, research & statistical, internal and external reporting, research, and regulatory compliance.

Accurately codes complex inpatient encounter diagnoses, procedures and/or modifiers supported by health information record documentation per ICD-10-CM/ICD-10-PCS official coding guidelines for coding and reporting.

Abstracts, codes and assigns necessary demographic and clinical data elements required for inpatient records. Reviews charge capture of complex cardiac procedures for accuracy. As necessary, consults or queries the physician for additional information or clarification of diagnoses, co-morbid/secondary conditions, and procedures. Performs other related duties as requested by HIM management.

• High School Diploma or equivalent required
• Associate level degree preferred

• Minimum of 3 years of coding experience in a hospital setting required.
• Certified Coding Specialists (CCS AHIMA) or Certified Inpatient Code (CIC) required
• Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) preferred.

• CCS or CIC certification Required
• RHIA or RHIT is preferred
• Must have a minimum of three years' coding experience in a Hospital setting (required)

Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.

In support of our mission "to improve health every day," this is a tobacco-free environment.

For positions that are available as remote work, Sentara Health employs associates in the following states:

Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.