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Full Time
8/21/2025
Columbia, MD 21044
(25.6 miles)
General Summary of PositionCodes and abstracts primarily Ambulatory Surgery records and other outpatient records using ICD-10-CM, and other applicable patient classification schemes. Primary Duties and ResponsibilitiesAbstracts and ensures accuracy of diagnoses, procedure, patient demographics, and other required data elements.Adhere to all compliance regulations and maintains annual compliance education.Maintains continuing education and seeks ongoing education to improve job performance. Maintains credentials as required for job classification.Contacts physician when conflicting or ambiguous information appears in the medical record. Adheres to the MedStar Coding Query Policy and procedure.Meets established Quality standards as defined by policies.Meets established Productivity standards as defined by policies.Resolves all quality reviews timely (e.g. Medical necessity reviews; Coding Quality assurance reviews; external vendor reviews).Reviews medical record documentation to identify diagnoses and procedures. Assigns correct diagnostic, procedural codes, and appropriate modifiers using standard guidelines and automated encoding software maintaining departmental accuracy standards.Exhibits knowledge of the 3M system and other work-related equipment.CUSTOM.PRIMARY.DUTIES.RESPONSIBILITIES.ADDENDUM Minimum QualificationsEducationHigh School Diploma or GED required Associate's degree or Bachelor's degree in coding related degree preferred Courses in Medical Terminology, Anatomy & Physiology, ICD-CM and CPT-4 required Experience2 years ASU (Ambulatory Surgery) coding experience and experience with clinical information systems (3M grouper, electronic medical records, computer assisted coding) required Licenses and Certifications CCS (Certified Coding Specialist), CCS-P (Certified Coding Specialist-Physician-based) required or COC (Certified Outpatient Coder) required RHIT (Registered Health Information Technician) preferred and/or RHIA (Registered Health Information Administrator) preferred Knowledge, Skills, and AbilitiesVerbal and written communication skills.Basic computer skills required. This position has a hiring range of $28.2 - $47.3
Full Time
8/1/2025
Columbia, MD 21044
(25.6 miles)
General Summary of PositionMedStar Health is seeking an experienced Inpatient Coding Specialist that hasat least 6 months - 1 year of inpatient acute care coding experience with knowledge in MS-DRG and/or APR-DRG.Qualified candidates must be able to obtain their CCS (Certified Coding Specialist) through AHIMA within one year of hire.Selected candidates will enjoy full time, Monday – Friday, day-shift REMOTE schedule.Join one of the largest health systems in the Mid-Atlantic area and enjoy the benefits of a comprehensive benefits package including paid time off, health/vision/dental insurance, short & long term disability, tuition reimbursement and the benefits of remote work capability.Job Summary - Codes and abstracts primarily Inpatient records using ICD-10-CM and other applicable patient classification schemes. Minimum QualificationsEducationHigh School Diploma or GED equivalent required and Courses in Medical Terminology, Anatomy & Physiology, ICD-CM and ICD-PCS required Associate's degree in coding or Bachelor's degree in coding related degree preferred; Experience Experience with clinical information systems (3M grouper, electronic medical records, computer assisted coding) and coding experience Licenses and Certifications CCS (Certified Coding Specialist) through AHIMA required within 1 year from date of hire. RHIT (Registered Health Information Technician) and/or RHIA (Registered Health Information Administrator) preferred Knowledge, Skills, and AbilitiesVerbal and written communication skills.Basic computer skills required. Primary Duties and ResponsibilitiesAbstracts and ensures accuracy of diagnoses, procedure, patient demographics, and other required data elements.Adhere to all compliance regulations and maintains annual compliance education.Maintains continuing education and seeks ongoing education to improve job performance. Maintains credentials as required for job classification.Contacts physician when conflicting or ambiguous information appears in the medical record. Adheres to the MedStar Coding Query Policy and procedure.Meets established Quality standards as defined by policies.Meets established Productivity standards as defined by policies.Resolves all quality reviews timely (e.g. Medical necessity reviews; Coding Quality assurance reviews; external vendor reviews).Reviews medical record documentation to identify diagnoses and procedures. Assigns correct diagnostic and procedural codes using standard guidelines and automated encoding software maintaining departmental accuracy standards. Determines the sequence of diagnoses according to Uniform Hospital Discharge Data Definitions and assigns appropriate DRG (Diagnosis Related Groups).Exhibits knowledge of the 3M system and other work-related equipment. This position has a hiring range of $28.20 - $44.83
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