Coder III
About The Position
Assigns diagnosis, procedure, and DRG codes to ensure quality documentation and accurate reimbursement for services provided. Reviews complex documentation from records to identify appropriate diagnostic and procedural codes (ICD, PCS, CPT). Uses coding guidelines, clinics, LCDs and NCDs and other resources and clinics to accurately assign and sequence appropriate codes and assign DRG. Identifies any quality concerns and refers to quality department as indicated. Reviews CDI documentation and collaborates closely with CDI staff to insure accurate DRG/AAPC assignment. Justifies DRG/AAPC discrepancies. Seeks clarification from healthcare providers or other designated resources to ensure accurate and complete coding and optimize DRG and severity of illness documentation.
Requirements
- Assigns diagnosis, procedure, and DRG codes to ensure quality documentation and accurate reimbursement for services provided.
Responsibilities
- Reviews complex documentation from records to identify appropriate diagnostic and procedural codes (ICD, PCS, CPT).
- Uses coding guidelines, clinics, LCDs and NCDs and other resources and clinics to accurately assign and sequence appropriate codes and assign DRG.
- Identifies any quality concerns and refers to quality department as indicated.
- Reviews CDI documentation and collaborates closely with CDI staff to insure accurate DRG/AAPC assignment.
- Justifies DRG/AAPC discrepancies.
- Seeks clarification from healthcare providers or other designated resources to ensure accurate and complete coding and optimize DRG and severity of illness documentation.
Benefits
- quality health, dental, and vision benefits
- wellness programs and resources
- industry-leading leave for new parents
- generous earned time plan
- Employee Assistance Program
- Access wages already earned before payday with Payactiv
- Tuition Reimbursement
- 403(b) company-matching contributions
- 401(a) retirement income plan
- short-term and long-term disability insurance
- leadership-supported programs and learning and development resources
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
