About this role
Role Overview
- Review inpatient medical records and claims to ensure accurate coding and reimbursement
- Assign and validate ICD-10-CM, ICD-10-PCS, and DRG codes
- Audit coding quality and identify opportunities for improvement
- Investigate and resolve provider disputes with a fair, fact-based approach
- Analyze complex clinical documentation and coding scenarios
- Collaborate with other teams to clarify coding and medical information
- Contribute to cost savings by improving payment accuracy and reducing errors
Requirements
- Four or more years of MSDRG coding auditing experience
- RHIA, RHIT or CCS Certification (must have held certification for at least 4 years)
- Experience performing inpatient coding audits in a health insurance or hospital setting
- Experience reading and interpreting claims
- Proficiency in gathering or referencing data within different systems simultaneously
Benefits
- medical, dental and vision benefits
- 401(k) retirement savings plan
- time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
- short-term and long-term disability
- life insurance and many other opportunities