Job Description
- Job Description:
- Review inpatient medical records to validate accurate DRG assignment and coding compliance
- Analyze patient charts to identify discrepancies in coding or clinical documentation
- Ensure coding accuracy according to CMS regulations and industry coding guidelines
- Conduct second-level reviews of DRGs, discharge dispositions, and Present on Admission (POA) indicators prior to billing
- Collaborate with coding teams and clinical staff to resolve documentation and coding questions
- Participate in coding audits and quality improvement initiatives
- Research and respond to coding or documentation denials related to DRG assignments
- Provide guidance and education to coding staff regarding documentation and coding best practices
- Support regulatory compliance and internal audit activities
- Requirements:
- Minimum of 5 years of inpatient coding experience
- Experience with DRG validation, auditing, or coding quality review
- Strong understanding of clinical documentation and coding compliance standards
- Ability to work independently in a remote environment
- Strong analytical and communication skills
- Candidates must hold at least one of the following credentials: RHIA, RHIT, CCS, CPC, CCS-P
- Benefits:
- Competitive hourly compensation
- Comprehensive medical, dental, and vision coverage
- Three weeks of paid vacation
- Fully remote work environment
- Opportunity to work in a specialized coding and compliance role within healthcare operations
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