Job Details

Reviews cases for accurate coding, monitoring the assignment and sequencing of ICD-10-CM/ PCS and CPT codes to facilitate the correct assignment of diagnostic and procedure codes. Sequences diagnoses and procedures accurately according to coding principles. Reviews non-CC/ MCC records to determine if record was miscoded or if additional documentation is needed. Works coding edits work queues and provides feedback and coding education to coding staff regarding completeness and accuracy of code assignment. Utilizes retrospective edit tool to address possible coding and/or documentation issues related to submitted diagnosis and procedure information obtain from the health record. Reviews discrepancies between Clinical Documentation Specialist (CDS) DRG and the Coder DRG. Performs reviews in a timely manner to maintain DNFB within the assigned targeted goals. Assist in the development and provides ICD-10-CM/ PCS, CPT/ HCPCS, DRG (MS & APR) and APC auditing, coding and reimbursement trainin...Auditor, Audit, Educator, Healthcare, Training, Certification