Grady Health System

  • Atlanta, GA, United States
Grady Health System Atlanta, GA, USA
JOB DESCRIPTION Location : Atlanta, GA Job Type : Full Time Shift/ Schedule : Remote SUMMARY The Coder is responsible for reviewing outpatient clinical documentation via Epic and 3M CAC for assignment of ICD-10-CM diagnoses and CPT-4/HCPCS procedure coding systems. Through knowledge of coding conventions and guidelines. Ability to address commonly applied modifiers for hospital outpatient accounts. Extracts pertinent information from clinical notes, operative notes, radiology reports, laboratory reports, (including Pathology), procedure records, specialty forms, etc. Determines complex code assignment pertinent to emergency visits and diagnostic workups. QUALIFICATIONS High School Diploma or GED is required At least 2 years relevant coding and abstracting experience in an acute care hospital. Experience with Epic and 3M CAC systems preferred. Certification as a Certified Professional Coder (CPC) or Certified Outpatient Coding (COC), formerly Certified Professional...

Grady Health System Atlanta, GA, USA
JOB DESCRIPTION Location : Atlanta, GA Status : Full Time The Lead Inpatient Coder must have the ability to code inpatient records above the minimum performance levels, in accordance with UHDDS Definitions to validate an inpatient admit order, assignment of and sequencing of ICD-10-CM/PCS principal and secondary diagnoses, principal and secondary procedures, the discharge disposition codes and the DRG Assignment. Solid knowledge of MS-DRG, APR-DRG, Coding Guidelines, American Hospital Association (AHA) Coding Clinic and Present on Admission (POA) Indicator Guidelines. Knowledge of Hospital Acquired Conditions (HACs) and selected AHRQ Patient Safety Indicators (PSIs). Manage and resolve Inpatient Claim Edit WQ's daily. Collaborates with the Patient Financial Services (PFS) to resolve payor denials due potential code assignment concerns. Assist with DRG payor review appeals final determination responses. Oversight of Inpatient Account WQs. Assist with 3M/Epic Coding Upgrade...

Grady Health System Atlanta, GA, USA
Job Description Please read the following job description thoroughly to ensure you are the right fit for this role before applying. Grady Health System offers many career paths for experienced professionals. Whether you have many years of experience or are in the early stages of your career, you can find a rewarding career at Grady! Location : Atlanta, GA Job Type : FTE Shift/Schedule : Days This is a remote role, but the ideal candidate will be required to come into the office occasionally to meet with the providers. Summary The Physician Compliance Auditor is responsible for conducting compliance audits, reporting results, researching/investigating issues, and establishing compliance monitoring processes. The Compliance Auditor is responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding accuracy, medical necessity, the appropriateness of treatment setting, HIPAA matters, and other compliance issues as directed by...