Singing River Health System
Location
Ocean Springs, Mississippi
The Inpatient Coding Apprentice evaluates medical records to ensure accuracy and compliance with ICD-10-CM, HCPCS, and CPT guidelines. They are responsible for selecting principal diagnoses and procedures, ensuring correct DRG assignment, and soliciting documentation clarification from physicians.
A high school diploma or equivalent is required, along with the ability to pass Medical Records Coding tests with a score of at least 70%. Preferred qualifications include experience in medical terminology, anatomy, and physiology.
At Singing River Health System, caring isn’t just part of the job — it’s in our DNA. Whether we’re saving lives, supporting behind the scenes, or showing up for our community, we bring the energy, heart, and hustle every single day. With pride, passion, and commitment, we will improve health and save lives in our community every day.
Job Description: Summary
Position Overview: The Inpatient Coding Apprentice will evaluate medical records and documentation to ensure completeness, accuracy, and compliance with the International Classification of Diseases Manual - Clinical Modification (ICD-10-CM), Healthcare Common Procedure Coding System (HCPCS), Centers for Medicare and Medicaid Services (CMS) documentation requirements and the American Medical Association’s Current Procedural Terminology Manual (CPT). Reviews complex medical records to identify diagnoses, CPT procedures and PCS procedures relative to the patient’s encounter. Selects the principal diagnosis and principal procedure, along with other diagnoses and procedures using UHDDS definition. Ensures appropriate DRG assignment. Abstracts appropriate information from the complex medical record. Identifies and reports documentation issues. Solicits clarification from the physician regarding ambiguous or conflicting documentation in the medical record. Ensure all coding complies with the ethical coding standards/guidelines and regulatory requirements. Maintains strictest confidentiality; adheres to all Health Insurance Portability and Accountability Act guidelines/regulations. The Specialist will also provide technical guidance and training on medical coding to physicians and staff. DISCLAIMER: This is not necessarily an exhaustive list of all responsibilities, duties, skills, efforts, requirements or working conditions associated with the job. While this intends to be an accurate reflection of the current job, management reserves the right to revise the job or to require that other or different tasks performed as assigned.
High School diploma or equivalent required.
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