This remote coding position reviews and interprets inpatient health records to identify diagnoses and procedures affecting the current hospital encounter. The specialist ensures documentation supports assigned diagnoses and procedures and selects appropriate ICD-10 and CPT codes within established deadlines. The role also reviews documentation for medical necessity, assigns working diagnoses and DRGs, identifies expected length of stay and applicable Core Measure cases, and conducts periodic reviews throughout a patient’s hospitalization. The specialist works with Clinical Documentation Specialists II to identify and address documentation deficiencies and support accurate, complete coding.
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Job Type
Full-time
Education Level
High school or GED