Inpatient Coding Validator (RHIA, RHIT, or CCS )
Requisition #: 178250
Location: Johns Hopkins Hospital/Johns Hopkins Health System, Baltimore, MD 21201
Work Shift: Day Shift
Work Week: Full Time (40 hours)
Weekend Work Required: No
Date Posted: Feb. 6, 2019
Johns Hopkins Health System employs more than 20,000 people annually. Upon joining Johns Hopkins Health System, you become part of a diverse organization dedicated to its patients, their families, and the community we serve, as well as to our employees. Career opportunities are available in academic and community hospital settings, home care services, physician practices, international affiliate locations and in the health insurance industry. If you share in our vision, mission and values and also have exceptional customer service and technical skills, we invite you to join those who are leaders and innovators in the healthcare field.
The Inpatient Coding Validator, under the direction of the Manager, Inpatient Coding–Academic Division, is responsible for participating in all quality based regulatory initiatives related to Inpatient Coding for the Johns Hopkins Health System, and serves as an expert level Inpatient coding professional. The Inpatient Coding Validator serves as the HIM Coding expert related to all Inpatient coding quality programs, including but not limited to: MHACs, HACs, PSI, PPCs, Mortality reviews and the accuracy of coded data impacting reimbursement and external quality databases.
Associate’s degree in Health Information Management with required credentials, or work experience equivalent to two years of HIM inpatient coding experience, for one year of education experience, i.e. 4 years.
Expert knowledge of ICD-10 CM & ICD-10 PCS coding methodologies and the complexities related to coding in an Academic Medical Center or tertiary care center. Expert knowledge of the Maryland HSCRC reimbursement methodology. Ability to demonstrate expert knowledge of current coding classification systems, concepts, practices, compliance, and policies related to Inpatient Coding. Understanding of the AMC mortality risk factors preferred.
Requires analytical ability to allow for interpretation of clinical data in all clinical specialties to determine appropriate diagnoses supported by clinically pertinent data, ICD-10 CM/PCS coding. Requires excellent written, oral communication and interpersonal skills. Ability to effectively communicate with all HIM Administrative staff, Coding Professionals and Hospital practitioners is essential. Ability to work independently. Completion of Academic Hospital Inpatient Diagnosis and Procedure Coding assessment with a minimum of 75% accuracy.
Required Licensure Certification:
RHIA, RHIT, or CCS credential required.
Minimum of five years of Inpatient coding and auditing experience in an Academic Medical Center or tertiary care center is required. Seven years preferred. Good oral and written communication skills and comprehensive knowledge of the APRDRG/MSDRG structures and regulatory requirements.
Machines, Tools, Equipment:
Experience with electronic medical records and Coding software required.
Day Shift, 40 hours Full Time 8:00 am – 5:00 pm
Exempt, Pay Grade: NJ
Works in a normal office environment where there is little discomfort due to the extremes of heat, dust, noise, temperature and the like.
Johns Hopkins is a Smoke – Free campus.
Johns Hopkins Health System and its affiliates are drug-free workplace employers.
Johns Hopkins Health System and its affiliates are an Equal Opportunity / Affirmative Action employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.
Johns Hopkins Medicine.