Perform inpatient coding audits, peer reviews, DRG validation, and quality reviews.
Validate principal/secondary diagnoses, procedures, ICD-10-PCS codes, and DRG assignments.
Conduct pre-bill reviews, CDI reconciliations, and second-level account reviews.
Respond to coding questions and assist with physician queries.
Identify coding error trends and recommend workflow improvements.
Develop training materials and provide coaching/mentoring to coding staff.
Support onboarding and training of new employees.
Maintain coding accuracy, productivity, compliance, and data quality standards.
Use Epic, Solventum/3M 360, MS-DRGs, and APR-DRGs.
4+ years of acute-care inpatient facility coding experience.
3+ years of inpatient coding auditing/DRG validation experience, including 2+ years in an Academic Health Center preferred/required per posting.
Strong experience with principal diagnosis, DRG assignment, secondary diagnosis, and ICD-10-PCS coding.
Acute-care and trauma coding experience required; Academic Medical Center/Trauma Center experience preferred.
Experience with Neurosurgery, Cardiothoracic, Orthopedic, and General/Oncology Surgery cases.
Physician query experience.
Pre-employment Inpatient Coding and Auditing assessments are required before the interview.
Training is expected to be completed within 2 weeks.
Full productivity is expected within 4 weeks.
Remote setup requires Windows 11, dual monitors, a webcam, and reliable high-speed internet.
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For workers in the United States, PrideGlobal and it's affiliates offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, pet insurance and employee discounts with preferred vendors.Pride Health is Pride Global's healthcare staffing, providing recruitment solutions for healthcare professionals and the industry at large since 2010.
Pride Health delivers exceptional service to its clients and candidates by capitalizing on diverse recruiting, account management, and staffing backgrounds. Our expert staff provides tailored and swift sourcing solutions to help connect healthcare talent with their dream jobs. Our personalized approach within the industry shines through as we continue cultivating honest and open relationships with our network of healthcare professionals, creating an unparalleled environment full of trust and loyalty.