Key skills
Communication
About this role
Role Overview
- Reviews the appropriate DRG and ICD-10-CM/ PCS coding assignments for accuracy within the coding disputes team from a variety of medical records
- Consults and collaborates with coding professionals within and across departments to ensure high accountability of coding disputes outcomes for timeliness, compliance and quality
- Ensures overall accuracy and compliance of coding disputes reviews by adhering to all appropriate coding guidelines and communicates disputes outcomes to providers in a professional and concise manner
- Leverages advanced auditing expertise to make coding decisions based on standard industry guidelines and best practices
- Manages multiple priorities, collaborates with peers and ensures timely completion of inpatient coding disputes
Requirements
- RHIA, RHIT or CCS Certification (have held at least one of these qualifications for 4 years)
- MS-DRG coding/auditing experience
- 3+ years' experience performing inpatient coding reviews/ audits in health insurance and/or hospital settings
- Working knowledge of Microsoft Office Programs Word, PowerPoint, and Excel
- Can work independently and determine appropriate course of action
- Excellent communication skills both written and verbal
Benefits
- Health benefits effective day 1
- Paid time off, holidays, volunteer time and jury duty pay
- Recognition pay
- 401(k) retirement savings plan with employer match
- Tuition assistance
- Scholarships for eligible dependents
- Parental and caregiver leave
- Employee charity matching program
- Network Resource Groups (NRGs)
- Career development opportunities