Health Information Management Careers at Lifespan

Clinical Coding Specialist Job

Job Number: RIH17563

Job Title: Per Diem - Clinical Coding Spec III Telecommute - Coding HIS

Department: Inpatient Coding - 1014674

Facility: Rhode Island Hospital

Location: Providence, RI

Associate degree in health information technology (preferably with RHIT, ) and/or successful completion of coding certification program Coding certification required from the American Health Information Management Association (AHIMA (preferred) [RHIA, RHIT, CCA, CCS or CCS-P] or the American Academy of Professional Coders (AAPC) [CPC or CPC-H]. Familiarity and understanding of the content of the medical record. Trained in medical terminology, medical science, disease processes, anatomy and physiology. Ability to recognize and understand clinical documentation pertinent for coding. Good writing skills to prepare compliant physician queries. Computer literate; capable of research internet websites to clarify diseases or procedures. Ability to navigate the patient electronic medical record to access and recognize appropriate data applicable to coding process.

EXPERIENCE:

Three to five years coding experience in a teaching or acute care hospital required with proven ability to understand the clinical content of a health record.


Under the general supervision of the Health Information Coding Manager, reviews the inpatient clinical documentation to extract data and assign appropriate codes in accordance with the inpatient ICD-9-CM Official Guidelines for Coding and Reporting. Determines appropriate MS assignment for optimal classification and accurate and compliant clinical reporting. Identifies and recommends physician queries when documentation in the chart is incomplete, ambiguous or unclear. Maintains and meets HIS quality and productivity standards.