Skills & Qualifications
At least three years of experience in inpatient coding with a CCS certification
Must have understanding of coding guidelines specifically with APR DRG's and MS DRG and how reimbursement works
Understanding of SOI (Severity of Illness) and ROM (Risk of Mortality)
Essential Job Duties:
The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.
1. Analyzes inpatient cases, identifies and assigns ICD-10 diagnostic and PCS procedural codes for the purpose of reimbursement, research and compliance with federal and state regulations. Demonstrates comprehensive knowledge of coding nomenclature to ensure accurate APR-DRG/SOI/ROM and POA assignment.
2. Utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical a...