Medical Coder: Accurate Diagnoses, Coding & DRG Impact

Geisinger; United States; Remote; USD 52,000 - 70,000; Full time

Job summary

Geisinger is seeking a qualified Medical Coder I/II to review inpatient and outpatient records, translate clinical details into codes, and assign DRGs in compliance with coding guidelines. Responsibilities include querying physicians when documentation is unclear and using encoder software to maximize correct reimbursement.

Candidate should stay current with AHIMA/AAPC standards and be able to communicate new diagnoses and procedures to the Coding Quality team.

Qualifications

• One relevant certification from AHIMA or AAPC is required upon hire.
• Acceptable AHIMA certifications include CCS, CCS-P, RHIT, RHIA, and CCA with conditions.
• AAPC certifications are acceptable except certain listed credentials.

Responsibilities

• Review medical records to identify principal/secondary diagnoses and procedures for accurate coding.
• Translate diagnostic and procedural phrases into codes using standard guidelines.
• Determine codes and DRGs using encoder software and optimize reimbursement.
• Query physicians to clarify documentation when needed.
• Stay current with coding guidelines and recommend improvements.
• Communicate new diagnoses/procedures to coding leadership.
• Update historical data via claim action reports.

Skills

Medical coding

Documentation review

Clinical documentation improvement

Tools

Encoder software

Job description

Geisinger is seeking a qualified Medical Coder I/II to review inpatient and outpatient records, translate clinical details into codes, and assign DRGs in compliance with coding guidelines. Responsibilities include querying physicians when documentation is unclear and using encoder software to maximize correct reimbursement.

Candidate should stay current with AHIMA/AAPC standards and be able to communicate new diagnoses and procedures to the Coding Quality team.