Coding Lead- IP /OP

Reno, NV 89501

Posted: 09/21/2023 Employment Type: Permanent Profession: Coder Job Number: 7876 Specialty: Inpatient

Job Description

Coding Lead - Inpatient/Outpatient experience required

• Addresses appeals and complex medical record review needed for insurance denials to facilitate expedient resolution and reimbursement.
• Participates in mandated Medical Record Review processes.
• Interprets and applies American Hospital Association (AHA) Official Coding Guidelines to articulate and support appropriate principal, secondary diagnoses, and procedures.
• Ensures that all factors necessary for assigning accurate DRG, ICD-10 CM, ICD-10 PCS and/or CPT, HCPCS, E & M and modifiers are present, and that related diagnoses are ranked properly when applicable.
• Assign accurate present on admission indicators when applicable.
• Provides information and responds to inquiries regarding medical documentation and DRG’s, PSI’s and HAC’s to CDI staff including Utilization and Quality Assurance Departments when needed.
• Knowledge of discharge disposition and reimbursement outcomes.
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