Client Partner - Medical Coding - Inpatient Coding - IP / DRG

Job Description

Maintains a working knowledge of CPT-4, ICD-10-CM, and ICD-10-PCS coding principles, governmental regulations, UHDDS (Uniform Hospital Discharge Data Set) guidelines, AHA coding clinic updates, and third-party requirements regarding coding and documentation guidelines

Knowledge of Physician query process and ability to write physician queries in compliance with OIG and UHDDS regulations

Knowledge of MS-DRG (Medicare Severity Diagnosis Related Groups), MDC (Major Diagnostic Categories), AP-DRG (All Patient DRGs), APR-DRG (All Patient Refined DRGs) with hands-on experience in handling MS-DRG

Knowledge of CC (complication or comorbidity) and MCC (major complication or comorbidity) when used as a secondary diagnosis

Understanding and exposure to Clinical Documentation Improvement (CDI) program to work in tandem with MS-DRG

Hands-on experience in any Encoder tools specific to Hospital coding, such as 3M, Trucode, etc., is preferred.

The coders assigned on the project would be reviewing Inpatient and observation medical records, determining accurate diagnosis (ICD-10-CM) codes and Procedure codes (ICD-10-Pand / or CPT) codes with appropriate modifiers in addition to reporting any deviations .promptly

Maintains a high level of productivity and quality

Achieve the set targets and cooperate with the respective team in achieving the set Turnaround Time, keeping an elevated level of accuracy

We will screen for reasonable comprehension and analytical skills, which are considered a prerequisite for reviewing the medical documentation and delivering accurate Coding.

The coders must deliver an internal accuracy of 95%, meet the turnaround time requirements, meeting the productivity standards set internally per the specialty.

Maintains a high degree of professional and ethical standards

Focuses on continuous improvement by working on projects that enable customers to arrest revenue leakage while complying with the standards.

Focuses on updating coding skills and knowledge by participating in coding team meetings and educational conferences

Conduct refresher and ongoing training programs conducted periodically within the organization

JOB REQUIREMENTS

To be considered for this position, applicants need to meet the following qualification criteria :

Graduates in life sciences with 1 - 4 years experience in Medical Coding

Candidates holding CCS / CIC with hospital coding experience are preferable.

The coders will focus on undergoing certifications sponsored by AAPC and AHIMA as they mature with the process. Access health care has now partnered with AAPC to handhold in-house certification training for coders and sponsor examinations.

Good knowledge of medical Coding and billing systems, medical terminologies, regulatory requirements, auditing concepts, and principles