[Hiring] Revenue Cycle Coding Edit Specialist @CommonSpirit Health

Role Description

As our Revenue Cycle Coding Edit Specialist, you will be a vital contributor to our revenue integrity and financial health. You'll focus on the critical task of inpatient record abstraction and precise medical coding, directly impacting data retrieval, analytics, reimbursement accuracy, and healthcare research. This remote opportunity is ideal for a dedicated professional eager to apply their expertise in HIM operations, navigating complex coding scenarios to optimize our revenue cycle management.

• Assign diagnostic and procedure codes using a designated coding and abstracting system and industry-standard encoder software.
• Review and abstract information from inpatient records, demonstrating adept navigation across various Electronic Medical Records (EMRs) from multiple facilities.
• Identify and resolve potential coding edits and discrepancies to ensure claim accuracy and compliance.
• Consistently meet stringent quality and productivity coding standards.
• Accurately assign codes from the current ICD classification systems for inpatient accounts, creating MS-DRG/APR-DRG assignments while adhering to coding guidelines, regulations, and compliance plans.
• Abstract additional data elements as identified by enterprise, such as administrative codes.
• Review medical documentation and health information within various electronic medical or health systems to address coding claim edits and other requests from other departments, ensuring DNFC KPI metrics are met.
• Code all service lines of inpatient and outpatient accounts.
• Communicate effectively, stay organized, and demonstrate effective time management skills.
• Adhere to the ethical standards of coding as established by AAPC and/or AHIMA.

Qualifications

• High School Diploma or GED required, with an Associate's degree in HIM/HIT preferred.
• Must hold one of the following certifications: CCS, RHIT, or RHIA.
• 2+ years of recent inpatient medical coding experience in a hospital or large multi-facility setting.
• Proven ability to code complex conditions and procedures, ideally in a Level I/II trauma center or teaching hospital (e.g., cardiovascular, neurosurgery, orthopedics, NICU).
• Demonstrated experience working effectively in a remote environment.
• Proficient with various encoder (e.g., Optum eCAC, Solventum) and EMR systems (e.g., Epic, Cerner, Meditech).
• Clinical Documentation Improvement Professional (CDIP) certification is a plus.

Requirements

• 4-6 years of recent inpatient medical coding experience (hospital, large multi-facility organization, etc.), upon hire.
• Bachelor’s degree in HIM, upon hire.