[Hiring] Medical Coding & Reimbursement Specialist-Sr @UVA Health

Role Description

Responsible for the assignment of appropriate ICD-10-CM/PCS and/or CPT-4 codes to obtain accurate DRG or APC assignment for proper reimbursement and data collection.

• Assigns all pertinent ICD-10-CM diagnosis codes and ICD-10-PCS or CPT-4 codes based on official inpatient and outpatient coding guidelines.
• Abstracts diagnosis and procedure codes as well as other required data elements as specified by the department or area of the Medical Center into the required Health System computer program (360 CAC, Epic, etc.).
• Attends educational sessions.
• In addition to the above job responsibilities, other duties may be assigned.

Qualifications

• Recent coding experience at a major academic medical center.
• Knowledge of hospital inpatient coding principles including Diagnosis Related Group (DRG) assignment logic, conditions affecting hospital quality measures such as Hospital Acquired Conditions, Patient Safety Indicators, Present on Admission, and HCCs.
• A high level of accuracy, attentiveness to detail, and time management skills for translating complex medical documentation into diagnostic classification system codes.
• In-depth knowledge of medical terminology, anatomy and physiology, complex disease processes, pathophysiology, and pharmacology.
• Ability to work independently in a teleworking environment, to organize/prioritize work, exercise excellent communication skills, demonstrate follow through skills, and maintain a positive attitude.
• AHIMA certification as an RHIA or RHIT with a CCS.

Requirements

• Education: High School Graduate or Equivalent.
• Experience: 5 years of relevant experience.
• Licensure: Coding certification is required through the AHIMA or AAPC as a RHIA, RHIT, CCS, CCS-P, CPC, CCA, or CPC-H.

Benefits

• Comprehensive Benefits Package: Medical, Dental, and Vision Insurance.
• Paid Time Off, Long-term and Short-term Disability, Retirement Savings.
• Health Saving Plans, and Flexible Spending Accounts.
• Certification and education support.
• Generous Paid Time Off.