You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.

Job Summary

Our client is seeking an Inpatient Coder responsible for reviewing inpatient encounter documentation, performing daily coding and abstracting, validating MS-DRG and APR-DRG assignments, and ensuring accurate diagnostic and procedural coding. This role also involves working closely with Clinical Documentation Specialists and maintaining quality standards.

Requirements

• Experience with 3M Encoder
• Experience with Epic
• CCS, RHIT, or RHIA certification (no CCS-P)
• 3–5 years of inpatient/facility coding experience preferred
• Will consider 2+ years if experience includes Pediatrics, NICU, or PICU

Key Responsibilities

• Thorough review of inpatient encounter documentation for diagnoses, treatments, and services.
• Performs daily coding and abstracting utilizing ICD-10 Code sets and DRG Grouping systems.
• Validates MS-DRG and APR-DRG assignment for appropriateness to encounter.
• Performs weekly coding of Inpatient Interim Bill Requests.
• Review of Clinical Documentation Specialists notes and queries to ensure capture of queried conditions.
• Validates admission diagnosis assignment and coordinates correction with Case Management personnel when appropriate.
• Identifies documentation issues that may lead to incorrect coding, billing, and quality metrics. Communicates issues to Clinical Documentation Specialists for clarification and/or resolution when appropriate.
• Facilitates accurate Hospital Acquired Conditions reporting with Infection Control and/or coordinates retrospective query with CDI team as appropriate.
• Performs research and/or seeks assistance from Nosology, CHA, and American Hospital Association on complex coding cases. Documents findings and educates team on coding guidance.
• Makes recommendations on Epic coding and SVC edits to prevent coding, billing, IHA, and claim edits.
• Maintains quality standards of AHA, AMA, CMS, OIG, and TJC pertaining to coding and reimbursement.
• Stay current in Coding changes by reading, maintaining CEUs, and attending education sessions related to Coding and Health Information Management.
• Trains and orients new employees.
• Assists with testing and implementation of systems/product changes and upgrades.
• Performs other duties as assigned by the coding manager or the director.

Benefits

• Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
• Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
• 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
• Short Term Disability Insurance.
• Term Life Insurance Plan.

Required Employment / Compliance Language

The client is committed to ensuring a safe and healthy working environment for all employees. Equal employment opportunities are provided to qualified professionals without regard to race, color, age, national origin, sexual orientation, gender identity, disability, protected veteran status or other personal characteristics legally protected by law.

^*We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).

Medix Overview:

With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we’re dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.

^*As a job position within our Revenue Cycle division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, handling financial and other payment data, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.