2 jobs found in Shelby

Position Summary:Remote position responsible for coding hospital inpatient stays (IP Coder II) or outpatient records (Outpatient Coder II) review documentation and properly identifies and assigns ICD-10-CM, CPT/HCPCS and/or PCS codes for all reportable diagnoses and procedures. This includes determining the correct principal diagnosis, co-morbidities and complications, secondary conditions and surgical procedures. This includes utilizing technical coding principals and APR and/or MS-DRG reimbursement expertise to assign appropriate ICD-10-CM diagnoses and PCS procedures, as well as abstracting these code assignments according to facility guidelines. Works collaboratively with CDI, understand Potentially Preventable Complications (PPC's)/ Hospital Acquired Conditions (HAC's), Prevention Quality Indicators (PQI's) to ensure accurate APR-DRG/SOI/ROM and their impact and other indicators as needed. This includes utilizing technical coding principals and APC reimbursement expertise to...

Position Summary: Responsible for working with physicians, coders, ancillary department staff, clinical documentation improvement (CDI), and other allied health professionals to improve documentation of patient care and to appropriately assign codes and/or determine charges to support those services. Essential Functions and Responsibilities:Completes quality assurance audits on inpatient and outpatient coding specialists, onboarding audits and training of newly hired coding specialists, validating the coding specialist is accurately abstracting data into medical record systems, following the all coding guidelines and directives. Validates Present on Admission (POA) indicators according to guidelines and identifies any missing or inappropriate queries to providers.Uses payment methodology to audit outpatient facility coding and billing, APC assignment, and OPPS reimbursement methodology and shares knowledge with colleagues and clinical team members.Performs retrospective, random and...