What are the responsibilities and job description for the Inpatient Coding Specialist III position at Mount Sinai Medical Center?
As Mount Sinai grows, so does our legacy in high-quality health care.
Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across the country. We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. Mount Sinai takes pride in being South Florida's largest private independent not-for-profit hospital, dedicated to continuing the training of the next generation of medical pioneers.
Culture of Caring: The Sinai Way
Our hardworking, tight-knit community of more than 4,000 dedicated employees fosters an environment of care and compassion. Each member plays a vital role in our collective mission to deliver excellent healthcare through innovation, education, and research. At Mount Sinai, we take pride in our achievements, aiming to be a beacon of quality healthcare in South Florida. We welcome all healthcare professionals to join our thriving community and contribute to our pursuit for clinical excellence.
Department
CC017680 Medical Records
Job Description Summary
Position Responsibilities
We believe in the physical and mental well-being of our employees and are committed to offering comprehensive benefits that fit their personal needs:
Degree Requirements:
Responsibilities
Core: All other tasks as assigned., Core: Assists providers and other professional staff in retrieving and compiling data for research, diagnosis, and teaching purposes., Core: Complies with current Hospital security and safety polices., Core: Maintains effective interpersonal skills with co-workers and Physicians. Promotes clear and accurate communications among the working team and with other related parties., Core: Maintains information organized and ready for easy and quick access., Core: Maintains log of activities as required for weekly and /or monthly reports (I.e. productivity and time management reports)., Core: Performs abstracting procedures within 24 hours of occurrence., Core: Performs coding and abstracting on inpatient cases by selecting and documenting ICD9-CM diagnosis and procedure codes. Assigns correct DRG., Core: Performs coding and abstracting with an accuracy rate higher than 95%., Core: Provides the primary source of data and information used in health care. Promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement., Core: Reports incidents to supervisor and Risk Management department within required timeframe in accordance with medical center policy., Job Specific: Applies knowledge of disease process, anatomy, and physiology, medical terminology and pharmacology when assigning ICD-10-CM diagnoses codes, Job Specific: Assigns correct ICD-10CM/PCS codes and POA’s to reflect the appropriate DRG, SOI, ROM, with an accuracy rate of 95% or greater., Job Specific: Completes 30 hours of Continued Education annually., Job Specific: Confirms the accuracy of autosuggested codes by utilizing the evidence review buttons., Job Specific: Continually updates knowledge of all coding and reimbursement guidelines and regulations, including but not limited to ICD-10-CM Guidelines for Coding and Reporting, Job Specific: Is able to write appropriate physician queries. Refers queries to physicians and questions to supervisors as appropriate, complying with all internal audit requirements, (i.e. review charts for Complication/Cormorbidity compliance)., Job Specific: Is proficient in using Epic and 3m 360 Encompass encoder., Job Specific: Maintains current knowledge of the information contained in Coding Clinic and the Official Guidelines for Coding and Reporting, Job Specific: Pay attention to detail to assure codes reflect the level of specificity supported in the source document, Job Specific: Performs abstracting of coding and clinical data (I.e. discharge disposition, discharge date, patient type, etc..) with an accuracy rate of 95% or greater., Job Specific: Performs coding and abstracting on inpatient charts by accurately assigning ICD-10-CM and PCS codes., Job Specific: Process of Emails, Smarts, CDI, Internal/External Audits daily within a 24 to 48 hour response time., Job Specific: Selects the principal diagnosis and principal procedure, along with other diagnoses and procedures using UHDDS definitions with a high level of coding accuracy rate
Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across the country. We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. Mount Sinai takes pride in being South Florida's largest private independent not-for-profit hospital, dedicated to continuing the training of the next generation of medical pioneers.
Culture of Caring: The Sinai Way
Our hardworking, tight-knit community of more than 4,000 dedicated employees fosters an environment of care and compassion. Each member plays a vital role in our collective mission to deliver excellent healthcare through innovation, education, and research. At Mount Sinai, we take pride in our achievements, aiming to be a beacon of quality healthcare in South Florida. We welcome all healthcare professionals to join our thriving community and contribute to our pursuit for clinical excellence.
Department
CC017680 Medical Records
Job Description Summary
Position Responsibilities
- Performs coding and abstracting on inpatient charts by accurately assigning ICD-10-CM and PCS codes.
- Assigns correct ICD-10CM/PCS codes and POA’s to reflect the appropriate DRG, SOI, ROM, with an accuracy rate of 95% or greater.
- Performs abstracting of coding and clinical data (I.e. discharge disposition, discharge date, patient type, etc..) with an accuracy rate of 95% or greater.
- Pay attention to detail to assure codes reflect the level of specificity supported in the source document
- Applies knowledge of disease process, anatomy, and physiology, medical terminology and pharmacology when assigning ICD-10-CM diagnoses codes
- Process of Emails, Smarts, CDI, Internal/External Audits daily within a 24 to 48 hour response time.
- Selects the principal diagnosis and principal procedure, along with other diagnoses and procedures using UHDDS definitions with a high level of coding accuracy rate
- Continually updates knowledge of all coding and reimbursement guidelines and regulations, including but not limited to ICD-10-CM Guidelines for Coding and Reporting
- Maintains current knowledge of the information contained in Coding Clinic and the Official Guidelines for Coding and Reporting
- Is proficient in using Epic and 3m 360 Encompass encoder.
- Is able to write appropriate physician queries. Refers queries to physicians and questions to supervisors as appropriate, complying with all internal audit requirements, (i.e. review charts for Complication/Cormorbidity compliance).
- Confirms the accuracy of autosuggested codes by utilizing the evidence review buttons.
- Completes 30 hours of Continued Education annually.
- License/Registration/Certification
- RHIA Or RHIT Or CCS or eligible to test for one of these. Certification must be obtained w/n 12 months of employment.
- Education
- Associates degree in Health Information Management or completion of Coding Specialist Prog or equivalent years of work experience.
- Experience
- 2 years of coding ICD10-CM/PCS with DRG assignment
We believe in the physical and mental well-being of our employees and are committed to offering comprehensive benefits that fit their personal needs:
- Health benefits
- Life insurance
- Long-term disability coverage
- Healthcare spending accounts
- Retirement plan
- Paid time off
- Pet Insurance
- Tuition reimbursement
- Employee assistance program
- Wellness program
- On-site housing for select positions and more!
Degree Requirements:
Responsibilities
Core: All other tasks as assigned., Core: Assists providers and other professional staff in retrieving and compiling data for research, diagnosis, and teaching purposes., Core: Complies with current Hospital security and safety polices., Core: Maintains effective interpersonal skills with co-workers and Physicians. Promotes clear and accurate communications among the working team and with other related parties., Core: Maintains information organized and ready for easy and quick access., Core: Maintains log of activities as required for weekly and /or monthly reports (I.e. productivity and time management reports)., Core: Performs abstracting procedures within 24 hours of occurrence., Core: Performs coding and abstracting on inpatient cases by selecting and documenting ICD9-CM diagnosis and procedure codes. Assigns correct DRG., Core: Performs coding and abstracting with an accuracy rate higher than 95%., Core: Provides the primary source of data and information used in health care. Promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement., Core: Reports incidents to supervisor and Risk Management department within required timeframe in accordance with medical center policy., Job Specific: Applies knowledge of disease process, anatomy, and physiology, medical terminology and pharmacology when assigning ICD-10-CM diagnoses codes, Job Specific: Assigns correct ICD-10CM/PCS codes and POA’s to reflect the appropriate DRG, SOI, ROM, with an accuracy rate of 95% or greater., Job Specific: Completes 30 hours of Continued Education annually., Job Specific: Confirms the accuracy of autosuggested codes by utilizing the evidence review buttons., Job Specific: Continually updates knowledge of all coding and reimbursement guidelines and regulations, including but not limited to ICD-10-CM Guidelines for Coding and Reporting, Job Specific: Is able to write appropriate physician queries. Refers queries to physicians and questions to supervisors as appropriate, complying with all internal audit requirements, (i.e. review charts for Complication/Cormorbidity compliance)., Job Specific: Is proficient in using Epic and 3m 360 Encompass encoder., Job Specific: Maintains current knowledge of the information contained in Coding Clinic and the Official Guidelines for Coding and Reporting, Job Specific: Pay attention to detail to assure codes reflect the level of specificity supported in the source document, Job Specific: Performs abstracting of coding and clinical data (I.e. discharge disposition, discharge date, patient type, etc..) with an accuracy rate of 95% or greater., Job Specific: Performs coding and abstracting on inpatient charts by accurately assigning ICD-10-CM and PCS codes., Job Specific: Process of Emails, Smarts, CDI, Internal/External Audits daily within a 24 to 48 hour response time., Job Specific: Selects the principal diagnosis and principal procedure, along with other diagnoses and procedures using UHDDS definitions with a high level of coding accuracy rate