Inpatient Coding Specialist - Facility

Savista•Remote - GA, GA
•$28 - $34

About The Position

The Coding Specialist III supports short-term client assignments, maintaining up to two concurrent assignments. For inpatient hospital-based claims, the specialist reviews clinical documentation and codes diagnoses and procedures. The role may also cover professional and technical claims, including coding diagnoses, evaluation and management (EM) levels, and surgical CPT codes. Other work includes validating MS-DRG or APC calculations, abstracting clinical data, resolving coding-related claims scrubber edits, and potentially interacting with client staff and providers. The specialist is expected to meet commercially reasonable production rates and maintain a consistent quality level of at least 95%.

Requirements

  • An active AHIMA (American Health Information Association) credential or an active AAPC (American Academy of Professional Coders) credential.
  • One year of relevant, productive coding experience for the specific patient type being hired, obtained within the last six months.
  • A passing score of 80% on assigned pre-employment tests.

Responsibilities

  • Assign ICD-10-CM and PCS codes for inpatient visits, or assign ICD-10-CM codes, professional and technical EM levels, and surgical CPT codes for physician visits, at commercially reasonable production rates and a consistent quality level of 95% or greater.
  • Validate MS-DRG or APC assignments, as applicable.
  • Abstract clinical data appropriately.
  • Mitigate hospital inpatient or professional and technical coding-related claims scrubber edits, as applicable.
  • Work on short-term assignments for up to two different clients.
  • Participate in client and Savista meetings and training sessions as instructed by management.
  • Maintain current working knowledge of the coding conventions used in client assignments.
  • Perform other related duties as required.
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