Job Description

Under direction of HIM Coding leadership, abstracts, sequences and assigns diagnosis and procedure codes according to CMS Coding guidelines, CMS Correct Coding initiatives, ICD 10 CM and ICD-10-PCS coding conventions and Uniform Hospital Discharge Data Set UHDDS definitions to medical records of complex discharged inpatients including cases such as congenital conditions, trauma, post procedure complications, more complex fractures, spinal fusions and VP shunts. Assure timely completion for billing and reporting, as required for reimbursement and maintenance of patient database.

• Reviewing and interpreting medical information, physician treatment plans, course, and outcome to determine appropriate ICD codes for diagnoses and procedures.
• Abstracting data elements to satisfy statistical requests by the hospital, health system, medical staff, etc., and entering all coded/abstracted information into the designated system.
• Utilizing standard coding guidelines, principles, and coding clinics to assign the appropriate ICD-10-CM codes for inpatient records to ensure accurate reimbursement.
• Assuring the diagnosis and procedures are sequenced in order of their clinical significance to accurately assign the appropriate DRG for accurate reimbursement. Reviewing coding for accuracy and completeness prior to submission to billing systems utilizing coding edits.
• Ensuring efficient management of medical information and DNB as it pertains to the unbilled coding report.
• Keeping informed of the changes/updates in ICD guidelines by attending appropriate training, reviewing coding clinics, and other resources, and implementing these updates in daily work.
• Being proficient in technology usage such as Epic, Solventum (3M 360) systems.
• Knowing Computer Assisted Coding (CAC).
• Knowing when to escalate issues for resolution.
• Acting as a mentor and subject matter expert to others.
• Engaging in process improvement with coding team and management.
• Working remotely.
• Performing other duties as assigned or required.

• High School / GED and an inpatient coding certification program or an Associate?s Degree in Health Information Management is required
• Current AHIMA or AAPC Coding Certifications : CCS, CCSP, or CPC is preferred.
• A minimum of one year of progressively complex Acute care inpatient setting inpatient is required
• Fully remote position

About Boston Children's Hospital

Boston Children's Hospital is a 395-bed comprehensive center for pediatric health care. As one of the largest pediatric medical centers in the United States, Children's offers a complete range of health care services for children from birth through 21 years of age.

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