Mount Sinai Careers
Coding Trainee- MSH- HIM
Strength Through Diversity
Ground breaking science. Advancing medicine. Healing made personal.
Dept Name- Health Information Management REQ # 2344182
Job Title: Coding Trainee
Roles & Responsibilities:
The Coding Trainee will obtain coding practice
experience in applying coding principles and guidelines to review electronic
clinical documentation, extract diagnoses and procedures, and accurately assign
Duties and Responsibilities:
1. Learn and apply learning to thoroughly review and evaluate the entire electronic medical record documentation, including physician progress notes, consultations and orders, operative reports, laboratory, pathology, radiology and other ancillary reports, nursing notes and medication administration records, and discharge summaries.
2. Apply knowledge of anatomy and physiology, disease process and pharmacology to identify diagnoses and procedures based on medical record documentation.
3. Apply knowledge of ICD-10-CM coding guidelines and Uniform Hospital Discharge Data Set Definitions (UHDDS) to abstract and sequence all reportable diagnosis and procedures.
4. Apply knowledge of ICD-10-CM coding guidelines and conventions to assign diagnostic and procedure codes.
5. Learn and apply learning to use 3M encoder logic and grouper software to assign diagnosis and procedure codes and DRGs.
6. Apply knowledge of Present on Admission (POA) reporting guidelines.
7. Learn and apply learning to ensure that physician documentation supports coding.
8. Maintain daily log and abstract forms of records coded.
9. Review instructor feedback on coded records to enhance learning and progressively increase coding knowledge.
10. Achieve and maintain coding accuracy standard of 95%.
11. Progressively increase and maintain production standards throughout the apprenticeship.
12. Achieve a productivity standard of 18 records daily by the end of the apprenticeship.
13. Abide by the Standards of Ethical Coding set forth by the American Health Information Management Association (AHIMA)
14. Maintain confidentiality of all patient records and protected health information.
High School or GED required
Medical Coding Certificate from a qualified program required
Completion of 1199-sponsored coding refresher class required.
Associate’s degree and/or College science courses in Anatomy and Physiology preferred
Strength Through Diversity
The Mount Sinai Health System believes that diversity is a driver for excellence. We share a common devotion to delivering exceptional patient care. Yet we’re as diverse as the city we call home- culturally, ethically, in outlook and lifestyle. When you join us, you become a part of Mount Sinai’s unrivaled record of achievement, education and advancement as we revolutionize medicine together.
We work hard to acquire and retain the best people, and to create a welcoming, nurturing work environment where you can develop professionally. We share the belief that all employees, regardless of job title or expertise, can make an impact on quality patient care.
Explore more about this opportunity and how you can help us write a new chapter in our story!
Who We Are
Over 38,000 employees strong, the mission of the Mount Sinai Health System is to provide compassionate patient care with seamless coordination and to advance medicine through unrivaled education, research, and outreach in the many diverse communities we serve.
Formed in September 2013, The Mount Sinai Health System combines the excellence of the Icahn School of Medicine at Mount Sinai with seven premier hospital campuses, including Mount Sinai Beth Israel, Mount Sinai Beth Israel Brooklyn, The Mount Sinai Hospital, Mount Sinai Queens, Mount Sinai West (formerly Mount Sinai Roosevelt), Mount Sinai St. Luke’s, and New York Eye and Ear Infirmary of Mount Sinai.
The Mount Sinai Health System is an equal opportunity employer. We promote recognition and respect for individual and cultural differences, and we work to make our employees feel valued and appreciated, whatever their race, gender, background, or sexual orientation.