Health Information Management Careers at Lifespan

Senior Coding Specialist Job

Job Number: TMH18042

Job Title: Sr Coding Specialist

Department: Outpatient Coding HI Svcs - 1104681

Facility: The Miriam 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) or the American Academy of Professional Coders (AAPC). Familiarity and understanding of the content of the medical record. Trained in anatomy, physiology and disease processes. Ability to recognize and understand clinical documentation pertinent for coding. Good writing skills to prepare physician queries. Must have computer skills to use an electronic medical record, an encoder program, e-mail and Microsoft Office products as necessary. Ability to do research on internet websites, to clarify diseases and procedures. Ability to access and recognize appropriate electronic documents for coding.

EXPERIENCE:

3-5 years inpatient coding experience reading medical records in an acute care facility.


Reports to the Director of Coding. The Senior Coding Specialist reviews the inpatient clinical documentation to extract data and assign appropriate codes in accordance with the inpatient ICD-10-CM Official Guidelines for Coding and Reporting. Determines appropriate MS-DRG or APR-DRG 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.