Acute Inpatient Coding Specialist
Validates acute inpatient coded charts to ensure the diagnostic information leading to the assignment can be substantiated by the documentation in the medical record.
Job responsibilities include:
- Leveraging clinical expertise to identify and validate DRG code assignment.
- Full review of CDI suggested code changes.
- Demonstrating comprehensive knowledge of coding guidelines and principals; performing coding audits for optimization.
- Auditing and reviewing Medicare/non-Medicare charts to ensure that proper standards are maintained in compliance with federal and state regulations.
- Applying coding rules and regulations to the validation review process.
- Reviewing codes on Medicare/non-Medicare charts for compliance to rules and conventions.
- Communicating DRG changes and rationale to the coding and CDI staff.
- Identifying appropriate coding changes necessary to provide the most valid documentation in compliance with federal and state regulations.
- Operating under general guidance and work assignments that are varied and require interpretation and independent decisions on course of action.
- Reviewing potential reassignments; demonstrating accurate and timely review of all reassignments.
- Performing related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.
Job qualifications include:
- Graduate from an accredited school of nursing.
- Bachelor's degree in nursing, required, or equivalent combination of education and related experience.
- Current license to practice as a registered professional nurse in New York State required, plus specialized certifications as needed.
- Additional salary detail: The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).