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License/Certification: Medical Coding Certificate; CPC by AAPC. Coding certification must be maintained, and in-service training attendance is required. Understanding of medical terminology, anatomy, and physiology is required.
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Reviews medical record documentation to identify pertinent diagnosis/procedures that require code assignment for inpatient records and accurately code the diagnoses and procedures using ICD-10 coding conventions for the purpose of reimbursement, research, and compliance with federal regulations.
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Medical Center Barbour - Licenses/Certificates: CPC Certification through AAPC or CCS certification through AHIMA. Experience: Two years coding experience in an acute care hospital environment.
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You will be accountable for reviewing patient medical records in the clinic setting to capture an accurate representation of the severity of illness, risk adjustment and facilitate proper coding.
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As a valued member of the DRG Review Team, the DRG Integrity Specialist performs a secondary level review of medical records and code assignment using knowledge of Accuity technology and client systems with a physician in accordance with federal coding regulations and guidelines as well as client specific coding guidelines to ensure accurate DRG assignment.
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Ensures member medical records comply with CMS's Risk Adjustment Data Validation procedures. Current RHIA, RHIT or CPC Certified Coder through AAPC and/or AHIMA required. Develops, implements, and maintains auditing practices related to medical record coding and documentation to enhance risk adjustment outcomes for Medicare members.
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Responsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD-10 codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and internal policies and procedures.
$18.5 - $35.29 an hourFull-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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Codes medical records as needed based on organizational needs. Ensures strict confidentiality of patient medical records. Coding credential required from AHIMA/AAPC (RHIA, RHIT, CCS and/or CPC, or CIC.
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Responsible for charge capture process and revenue integrity of professional charges, including but not limited to, abstracting data from medical records, coding diagnoses and procedures, along with educating providers and staff, while maintaining work queue goals and is a resource to help maintain patient relations.
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Knowledge of legal, regulatory, and policy compliance issues related to medical coding and documentation. Advanced knowledge of medical coding, electronic medical record systems, coding systems.
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Inpatient Coder IIs will evaluate inpatient medical records and accurately assign the appropriate ICD-10 CM/PCS codes, Present on Admission (POA) indicators, and relevant DRGs. The Coder II must be skillful in the identification and assignment of all diagnoses and procedures in accordance with nationally recognized coding guidelines, as well as researching opportunities to improve documentation.
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Medical Coding or Billing Certification from AAPC. Provides validation reviews, audits, documentation and training for the area of knowledge, sharing information with Finance, Medical Records and other revenue producing areas or departments.
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Knowledge of current and developing issues and trends in medical coding diagnosis and procedure code assignment. Ability to clearly communicate medical information to physicians and CDIS staff.
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Review pre-bill cases simultaneously with a physician during each work shift excluding breaks and meetings to analyze and validate diagnosis and procedure codes for inpatient services via coding compliance and clinical knowledge to support accurate DRG assignment.
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Experience and knowledge in DRG reimbursement (i.e., MS-DRG, APR-DRG) Researches, analyzes, and responds to inquiries regarding compliance, inappropriate coding, and client denials. Associates Degree in Health Information Management or similar preferred.
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