Description

:This position is responsible for reviewing clinical documentation and assigning ICD-10-CM diagnosis, PCS procedure codes, and the DRG to ensure proper reimbursement for complex inpatient accounts. Requires extensive knowledge and understanding of ICD-10-CM/PCS coding guidelines, MS-DRG and APR-DRG reimbursement systems, medical terminology, and disease processes. Works closely with Clinical Documentation Integrity and clinicians to ensure complete and accurate documentation, coding, and final DRG assignment. Adheres to the quality and productivity standards set by the department.

Education Qualifications:

Key Responsibilities:

Evaluates health record documentation and accurate reimbursement by ensuring that ICD-10-CM diagnostic and PCS procedural codes accurately reflect and support the inpatient hospital admission

Identifies documentation clarification opportunities to ensure that documentation supports t...