Job Description
taleo-core-ng.jobs.details.job_description
Location : Atlanta, GA
Status : Full Time
The Lead Inpatient Coder must have the ability to code inpatient records above the minimum performance levels, in accordance with UHDDS Definitions to validate an inpatient admit order, assignment of and sequencing of ICD-10-CM/PCS principal and secondary diagnoses, principal and secondary procedures, the discharge disposition codes and the DRG Assignment. Solid knowledge of MS-DRG, APR-DRG, Coding Guidelines, American Hospital Association (AHA) Coding Clinic and Present on Admission (POA) Indicator Guidelines. Knowledge of Hospital Acquired Conditions (HACs) and selected AHRQ Patient Safety Indicators (PSIs). Manage and resolve Inpatient Claim Edit WQ’s daily. Collaborates with the Patient Financial Services (PFS) to resolve payor denials due potential code assignment concerns. Assist with DRG payor review appeals final determination responses. Ove...
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