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Love + medicine is who we are, it's what we do, it's why people want to work here. If you're looking for a job to love, apply today. Schedule Weekly Hours: 40 Are you a motivated and like to work independently? Gundersen Health System is seeking a skilled and driven new team member for their inpatient coding team! We are seeking candidates from WI, IA & MN to work remotely but within a reasonable driving distance to the Onalaska Gundersen location to be able to come in for occasional meetings and training. What you will work: 1.0 FTE (80 hours every 2 weeks) Monday - Friday schedule Flexible scheduling What you will do: Coding inpatient facility using ICD-10-CM & ICD-10-PCS Collaborate with inpatient nursing staff Work remotely and independently What you will get: A very experienced and knowledgeable team A well thought out training plan Flexibility Gundersen's top rated retirement plan and benefits Work/life balance What you need: Post High School education in a specialized field: Completion of Health Information Technician program or Completion of Health Information Administrator program or Equivalent allied health education 2 years hospital coding experience: emergency services, hospital outpatient services, or professional services coding of inpatient encounters is acceptable or ICD-10 Inpatient coding in an educational or hospital setting Certified Inpatient Coder (CIC) or Certified Coding Specialist (CCS) or Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) or Certified Outpatient Coder (COC) with 2 years of hospital inpatient coding experience Job Description: The Coding Specialist Hospital Inpatient reads and translates clinical documentation in hospital inpatient medical records to assign appropriate ICD-10-CM codes, designate the principal diagnosis, and determine the most accurate MS-DRG or APR-DRG for billing/reimbursement, internal and external reporting, research, and regulatory compliance. Under the direction of the designated Supervisor,and in compliance with the ICD-10-CM Official Guidelines for Coding and Reporting, accurately assigns codes for inpatient diagnoses and procedures. Assures that the MS-DRG and APR-DRG assignment is accurate and fully reflects the patient's Severity of Illness and Risk of Mortality. The specialist applies knowledge of the ICD-10-CM coding system, medical terminology, disease processes, pathophysiology and pharmacology to the clinical findings documented in the patient medical record. Validates and abstracts defined data as required by the organization or by regulation. Adheres to the AHIMA Standards of Ethical Coding, AAPC Code of Ethics and the official coding rules and guidelines. Occasional travel to Gundersen Health System facilities will be required. Major Responsibilities: 1. Applies knowledge of coding guidelines, anatomy and physiology, pathophysiology, and pharmacology to assign ICD-10 CM and ICD-10-PCS codes, determine the principal diagnosis, co-morbidities and complications, secondary conditions and surgical procedures to complex hospital inpatient encounters. The episode of inpatient care is generally several days in length, involves multiple clinical problems and co-morbidities with various procedures and treatments. Codes are entered into the coding workstation for billing, research, planning, and quality improvement. 2. Applies expert knowledge of the MS-DRG and APR-DRG grouper logic to analyze and achieve the MS-DRG assignment that most accurately reflects the patient's Severity of Illness and Risk of Mortality. 3. Adheres to the ICD-10-CM (International Classification of Diseases, 10th revision, Clinical Modification) and ICD-10-PCS (International Classification of Diseases, 10th revision, Procedure Classification System) coding conventions, official coding guidelines approved by the Cooperating Parties, the AHIMA Standards of Ethical Coding and any other official coding rules and guidelines. Evaluates each co ed diagnosis and assigns the correct "present on admission" (POA) value according to CMS (Centers for Medicare and Medicaid Services). 4. Analyzes the clarity and completeness of clinical documentation for purposes of code assignment. Complies with national standards when writing queries to physicians to clarify incomplete, conflicting or ambiguous documentation 5. Collaborates with and provides feedback to the RN Clinical Documentation Specialists to advance specific and complete documentation by the medical staff and associate staff. 6. Verifies and abstracts data at the time of coding, entering changes into the hospital information system. 7. Collects and enters quality indicator data at the time of coding, in support of The Joint Commission, CMS core measures and other indicator systems. 8. Takes the initiative to develop and build coding competency by staying abreast of advances in medical practice and technology, coding guidelines and regulations. Obtains continuing education and maintains current certification through applicable certifying organization. 9. Participates in the coding quality control program and completes reviews within the specified time frames. 10. Assists in the clinical training of Health Information Management students and training new coding employees. 11. Performs other job duties as requested. Education and Learning: REQUIRED: Post High School education in a specialized field: Completion of Health Information Technician program or Completion of Health Information Administrator program or Equivalent allied health education Work Experience: REQUIRED 2 years hospital coding experience: emergency services, hospital outpatient services, or professional services coding of inpatient encounters is acceptable or ICD-10 Inpatient coding in an educational or hospital setting. DESIRED 3-4 years hospital inpatient coding experience; medium or large hospital or health system. DRG optimization experience. License and Certifications: REQUIRED Certified Inpatient Coder (CIC) or Certified Coding Specialist (CCS) or Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) OR Certified Outpatient Coder (COC) with 2 years of hospital inpatient coding experience DESIRED RHIT or RHIA Age Specific Population Served: Nonage Specific (N/A) OSHA Category: Category III - No employees in this job title have a reasonably anticipated risk of occupational exposure to blood and/or other potentially infectious materials. Environmental Conditions Not substantially exposed to adverse environmental conditions (as in typical office or administrative work). Physical Requirements/Demands of the Position Sitting Frequently (34-66% or 5.5 hours) Walking/Standing Occasionally (6-33% or 3 hours) Reaching - Below Shoulder Occasionally (6-33% or 3 hours) Repetitive Actions - Pinch Forces Occasionally (6-33% or 3 hours) Pounds of Force 0-25 Repetitive Actions - Fine Manipulation Continually (67-100% or 8 hours) Lifting - Other Rarely (1-5% or .5 hours) Number of Pounds 0-25 Carrying - Short Carry Rarely (1-5% or .5 hours) Number of Pounds 0-25 If you need assistance with any portion of the application or have questions about the position, please contact HR-Recruitment@gundersenhealth.org or call 608-775-0267 Equal Opportunity Employer EEO/AA/Veterans/Disabilities