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%.
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Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed