Nationwide Children's Hospital

Pediatric hospital providing care and research

Senior Inpatient APR-DRG Coding Specialist

Clinical Support & Patient AdministrationPosted on Nov 12

Full-timeColumbus, OH, USANo salary listedIn-person

About the Job

Requirements

Five years of experience as an inpatient APR-DRG coder in a free-standing pediatric hospital or a combination of related experience is required.
Experience working with a Clinical Documentation Improvement (CDI) team is required.
One of the following certifications is required: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), or Certified Outpatient Coder (COC).
Certified Coding Specialist (CCS) certification is required within 48 months of hire.
The role requires accurate assignment of ICD-10-CM diagnoses, procedure codes, and proper APR-DRG grouping for pediatric inpatient and interim accounts.
The role requires meeting daily quality and quantity metrics, including a 95% quality target.
The physical requirements include occasional bending or twisting, climbing stairs or ladders, neck flexion or extension, grasping, gripping or turning, lifting or carrying 0–10 pounds, reaching above shoulder level, squatting or kneeling, standing, and walking; continuous requirements include computer skills, decision-making, interpreting data, problem-solving, repetitive hand or arm use, far and near vision, and sitting.

Responsibilities

Code 20–25 inpatient charts or 8–10 interim inpatient accounts per day while meeting 95% quality.
Meet weekly coding deadlines and complete all inpatient accounts within the 5-day bill-hold period.
Assign principal and all appropriate secondary diagnoses.
Use appropriate tools to determine APR-DRG and directly influence hospital reimbursement.
Work extensively with the computer-assisted coding (CAC) engine and validate identified codes.
Collaborate and communicate about coding mismatches and follow-ups.
Use professional associations, Libman, and other resources to stay familiar with new diagnoses, procedures, and coding guidelines.

Desired Qualifications

Graduation from a Health Information Technology program is preferred.
Epic experience is preferred.

Overview:

Job Description Summary:

Provides accurate assignment of ICD-10-CM diagnoses, procedure codes, and proper APR-DRG grouping for pediatric inpatient and interim accounts. Required to meet daily metrics for quality and quantity.

Job Description:

Essential Functions:

Codes 20-25 inpatient charts or 8-10 interim inpatient accounts per day and meets 95% quality.
Strives to meet weekly coding deadlines and complete all inpatient accounts within the 5-day bill hold period.
Properly assigns principal and all secondary diagnoses as appropriate.
Directly influences hospital reimbursement by using appropriate tools to determine APR-DRG.
Works extensively with CAC (computer-assisted coding) engine and validates codes identified.
Collaborates and communicates effectively on coding mismatches and follow-ups.
Utilizes professional associations, Libman, and other resources to familiarize self with new diagnoses, procedures, and coding guidelines.

Education Requirement:

As required by listed licensure and/or certification requirement.
Graduate of Health Information Technology program, preferred.

Certifications:

Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), or Certified Outpatient Coder (COC), required.
Certified Coding Specialist (CCS) within 48 months of hire, required.

Experience:

Five years of experience as an Inpatient APR-DRG coder in a free-standing pediatric hospital or combination of related experience, required.
Experience working with CDI team, required.
Epic experience, preferred.

Physical Requirements:

OCCASIONALLY: Bend/twist, Climb stairs/ladder, Flexing/extending of neck, Hand use: grasping, gripping, turning, Lifting / Carrying: 0-10 lbs, Reaching above shoulder, Squat/kneel, Standing, Walking

FREQUENTLY: (none specified)

CONTINUOUSLY: Computer skills, Decision Making, Interpreting Data, Problem solving, Repetitive hand/arm use, Seeing – Far/near, Sitting

"The above list of duties is intended to describe the general nature and level of work performed by individuals assigned to this classification. It is not to be construed as an exhaustive list of duties performed by the individuals so classified, nor is it intended to limit or modify the right of any supervisor to assign, direct, and control the work of employees under their supervision. EOE M/F/Disability/Vet"

About the Company

Nationwide Children's Hospital

Pediatric hospital providing care and research

Nationwide Children’s Hospital provides pediatric care across 50 locations in Ohio, serving about 1.8 million patient visits each year with a staff of 1,600 physicians and 16,000 employees. It combines clinical care with research and training through the Abigail Wexner Research Institute and its affiliation with The Ohio State University College of Medicine. The hospital stands out for its high rankings across pediatric specialties, a leading role in pediatric surgery, and a strong commitment to care regardless of a family’s ability to pay. Its goals are to deliver high-quality pediatric care, advance medical knowledge through research, and educate the next generation of children’s health professionals.

Company size: 10,001+
Company stage: Grant
Total funding: $4.1M
Headquarters: Columbus, OH
Founded: 1892

Recently Posted Jobs

Explore more opportunities at Nationwide Children's Hospital

See more jobs