Posted:2 weeks ago|
Platform:
On-site
Full Time
Review and analyze inpatient medical records to assign ICD-10-CM/PCS codes in accordance with official coding guidelines and facility policies.
Ensure accurate DRG assignment using appropriate grouper software (e.g., 3M, Optum).
Validate coding to ensure the correct capture of comorbidities, complications, and procedures that impact DRG and severity of illness (SOI)/risk of mortality (ROM).
Collaborate with CDI (Clinical Documentation Improvement) specialists and physicians for clarification when documentation is incomplete, ambiguous, or inconsistent.
Maintain productivity and accuracy benchmarks as established by the organization or client.
Stay current with coding updates, regulations, payer requirements, and coding guidelines (e.g., AHA Coding Clinic, CMS guidelines).
Participate in coding audits and provide feedback or education based on findings.
Adhere to all HIPAA and data privacy regulations.
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