Job Description
Job purpose
The Inpatient Auditor will provide assistance with all related activities, including auditing of facility inpatient charts. Inpatient Auditor will also review medical record encounter to ensure that assigned codes meet required coding guidelines.
Duties and responsibilities
Review assigned ICD10 CM Diagnosis Codes and ICD 10 PCS Procedure Codes for assigned accounts.
Review the selected and sequenced principal and secondary diagnosis and procedure codes.
Review assigned DRG to ensure it is appropriate.
Review the medical record and all applicable documentation to determine the appropriate codes were assigned for the services and diagnoses and document findings in an excel spreadsheet and/ or auditing tool.
Be knowledgeable of billing and coding requirements for governmental guidelines and private insurance payers.
Review the abstract of sta...
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