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Senior Inpatient Coder - Remote - Duluth Minnesota
Company: Essentia Health Location: Duluth, Minnesota
Posted On: 04/28/2024
Job Description: This position is responsible for reviewing clinical documentation and assigning ICD-10-CM diagnosis, PCS procedure codes, and the DRG to ensure proper reimbursement for complex inpatient accounts. Requires extensive knowledge and understanding of ICD-10-CM/PCS coding guidelines, MS-DRG and APR-DRG reimbursement systems, medical terminology, and disease processes. Works closely with Clinical Documentation Integrity and clinicians to ensure complete and accurate documentation, coding, and final DRG assignment. Adheres to the quality and productivity standards set by the department. Education Qualifications: Key Responsibilities: -
Evaluates health record documentation and accurate reimbursement by ensuring that ICD-10-CM diagnostic and PCS procedural codes accurately reflect and support the inpatient hospital admission -
Identifies documentation clarification opportunities to ensure that documentation supports the coding and DRG assignment. Initiates coding queries and provides feedback to clinicians -
Reviews Local Coverage Determination (LCD)/National Coverage Determination (NCD) policies for ICD-10-CM diagnoses that support medical necessity for services provided -
Works with the coding denials team for education and assists with DRG denial prevention solutions -
Ensures inpatient accounts are coded accurately and in a timely manner -
Consistently maintains coding quality (95% accuracy) and productivity expectations -
Assists with the training of inpatient coders -
Performs related duties as required Educational Requirements: - Successful completion of a coding program, which included coursework in ICD-10-CM/PCS, medical terminology, anatomy and physiology and disease processes
Required Qualifications: - Two (2) years of hospital inpatient/DRG coding experience
Preferred Qualifications: -
Epic experience -
3M Encoder experience -
Computer Assisted Coding experience Licensure/Certification Qualifications: Certification/Licensure Requirements: |
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