3 inpatient coding auditor ii jobs found

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure according to regulatory requirements. Reports findings both verbally and in writing and communicates results to affected areas. Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in accordance with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts with external consultants regarding billing, coding and/or documentation and evaluates their recommendations and/or teaching...

Description The Medical Coder III position plays a critical role in ensuring accurate medical coding and documentation. This involves handling complex case scenarios, applying a combination of facility coding and professional coding, and aligning with industry standards like ICD-10-CM, CPT, and HCPCS codes. The coders will code inpatient facility and inpatient professional rounds and facilitate proper documentation and communication with medical staff to enhance compliance and coding accuracy. Accurately assigns Evaluation and Management (E&M) codes, International Classification of Diseases, Clinical Modification (ICD-CM) diagnoses, ICD-10 Procedure Coding System (ICD-10-PCS), Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), modifiers, and quantities derived from medical record documentation (paper or electronic) for the professional and institutional (facility) components of inpatient facility discharges (stays); inpatient...

Overview Job Description - Coder II (7454-1498) Wythe County Community Hospital Description POSITION SUMMARY: Under the direction of the Health Information Management Director, the coder II accurately determines ICD-10-CM diagnosis codes, ICD-10-CM, CPT and HCPCS procedure codes for all patient types including inpatient, observation, surgical day care, Emergency Department (ED) outpatient and recurring patients. Responsibilities Abstract pertinent information from patient records within various inpatient and outpatient types. Assign ICD-10-CM/ ICD-10-PCS codes or HCPCS codes, creating ambulatory payment classification (APC) or diagnosis related group (DRG). Monitor and manage the discharged not final billed (DNFB) accounts within assigned patient types daily to meet financial goals and expectations. Meet coding productivity standards and accuracy rate determined by company policy. (See Coding Productivity and Quality Standards.) Query clinical staff to achieve accuracy in...