Facility Inpatient DRG Coder

Coding Concepts; Gilbert (AZ); Remote; USD 75,000 - 95,000; Full time

Job summary

A leading healthcare provider seeks a Facility Inpatient DRG Coder. The role involves ensuring coding accuracy for inpatient facilities, working closely with clinical documentation and quality teams. Candidates should possess extensive coding experience and relevant certifications, as well as a strong understanding of medical terminology and billing codes. This is a remote position, offering a competitive salary and flexible schedule.

Benefits

Competitive salary

Flexible schedule

Qualifications

• 5 years’ experience in inpatient facility-based coding.
• Requires coding certifications (CCS, CIC, CPC, etc.).
• Thorough knowledge of ICD and DRG coding principles.

Responsibilities

• Interpret clinical documentation for billing accuracy.
• Audit clinical documentation for compliance.
• Initiate physician queries for code assignment accuracy.

Skills

Medical terminology

Anatomy and physiology

ICD Coding

DRG/CPT coding principles

Education

CCS

CIC

CPC

COC

CCS-P

RHIT

RHIA

Job description

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Facility Inpatient DRG Coder

Benefits:

• Competitive salary
• Flexible schedule
  
  
  

Facility Inpatient DRG Coder

Job Title | Facility Inpatient DRG Coder

Location | Remote

Company | Coding Concepts LLC

About Us

At Coding Concepts, our foundation is built on core values of integrity, transparency, and an unwavering commitment to our clients. Our primary goal is to collaborate with clients to achieve their strategic objectives. We are dedicated to helping them develop a robust foundation and effective business strategy, ensuring their success.

Job Summary

This position ensures clinical documentation aligns with billing codes for accurate health records and quality assurance. Works with clinical documentation and quality teams to improve documentation, coding accuracy, and compliance before claims submission. Provides expert guidance on code assignment across all care levels, including emergency department, observation, spine surgery – spine fusions, pain management – injections and implants, ENT surgery, general surgery, orthopedic surgery, vascular surgery, GYN surgery robot assisted, and inpatient facility DRG.

Job Description

• Responsible for the interpretation of clinical documentation completed by the health care team for the health record(s) and for quality assurance in the alignment of clinical documentation and billing codes.
• Demonstrates extensive knowledge of clinical documentation and its impact on reimbursement under Medicare Severity Adjusted System (MS-DRG), All Payer Group (APR-DRG) and Ambulatory Payment Classification (APC) or utilized operational systems.
• Performs an audit of clinical documentation to ensure that clinical coding is accurate for proper reimbursement and that coding compliance is complete.
• If applicable, applies Uniform Hospital Discharge Data Set (UHDDS) definitions to select the principal diagnosis, principal procedure, complications and co morbid condition, other diagnoses, and significant procedures which require coding.
• Apply policies and procedures on health documentation and coding that are consistent with official coding guidelines.
• Initiates and follows through on physician queries to ensure that code assignment accurately reflects the patient’s condition, treatment and outcomes.
• Proficiency in claims software to address coding edits and claim denials utilizing multiple platforms and internal tracking tools.
  
  
  

Qualifications

• 5 years’ recent experience in Inpatient facility-based medical coding
• Requires CCS, CIC, CPC, COC, CCS-P, RHIT or RHIA
• Must possess a thorough knowledge of ICD Coding and DRG and/or CPT coding principles, as recommended by the American Health Information Management Association coding competencies
• Requires an in-depth knowledge of medical terminology, anatomy and physiology, plus a thorough understanding of the content of the clinical record
  
  
  

This is a remote position.

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Hospitals and Health Care

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