GHR RevCycle Workforce
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Coding Lead- IP /OP
Reno, NV 89501 US
Posted: 09/21/2023
2023-09-21
2024-01-08
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.
• 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.