Location: METROHEALTH MEDICAL CENTER
Biweekly Hours: 80.00
Shift: 8:00 am to 4:30 pm Mon - Fri
The MetroHealth System is redefining health care by going beyond medical treatment to improve the foundations of community health and well-being: affordable housing, a cleaner environment, economic opportunity and access to fresh food, convenient transportation, legal help and other services. The system strives to become as good at preventing disease as it is at treating it. Founded in 1837, Cuyahoga County’s safety-net health system operates four hospitals, four emergency departments and more than 20 health centers.
Performs concurrent and retrospective chart reviews to ensure appropriateness and accuracy of ICD-10-CM/PCS coding, DRG (Diagnosis Related Group) assignment, and CDI (Clinical Documentation Integrity) compliance. Provides feedback and education to Health Information Management (HIM) CDI and Coding staff and medical providers as needed. Identifies and promotes the quality of the clinical documentation through ongoing education, feedback, and communication with the HIM CDI and Coding staff and MHS medical providers. Assists with reviewing and appealing DRG and clinical validity payer denials. Works collaboratively with other disciplines to ensure that all appropriate diagnoses and severity of illness are captured. Upholds adherence to the policies and procedures governing coding and reimbursement in compliance with federal and state laws and regulatory guidelines. Upholds the mission, vision, values, and customer service standards of The MetroHealth System.
Bachelor's degree in Health Information Management/Technology, Nursing, or related field required, or any equivalent combination of education, training, and experience in addition to the experience stated below.
Any one of the following active credentials:
- RHIA – Registered Health Information Administrator.
- RHIT – Registered Health Information Technician (Bachelor’s degree required).
- RN – Registered Nurse (BSN required).
A minimum of five years’ experience working with inpatient coding and/or clinical documentation integrity in an acute care hospital setting.
Previous experience training DRG Coders and/or CDI specialists.
Previous experience performing quality reviews to ensure accuracy of DRG Coding and/or CDI compliance.
Proficiency with Microsoft Office Suite.
Proficiency with computerized encoder, computer assisted coding and CDI technology.
Analytical ability necessary to conduct basic research, analyze and interpret data, evaluate processes, and propose solutions.
Strong oral and written communication skills.
Strong skills as an educator/trainer to deliver presentations to staff and medical providers.
Extensive knowledge of regulations and guidelines pertaining to documentation and inpatient coding.
Ability to prioritize work, meet deadlines, and produce quality results on time with strong attention to detail.
Must pass a screening coding test during the application process.
Ability to interact effectively with a wide range of cultural, ethnic, racial, and socioeconomic backgrounds.
One or more of the following active credentials:
CCS (Certified Coding Specialist) – AHIMA.
CDIP (Certified Documentation Improvement Practitioner) – AHIMA.
CCDS (Certified Clinical Documentation and Certification) – ACDIS.
May need to move around intermittently during the day, including sitting, standing, stooping, bending, and ambulating.
May need to remain still for extended periods, including sitting and standing.
Ability to communicate in face-to-face, phone, email, and other communications.
Ability to read job related documents.
Ability to use computer.
Job Type: Full-time