Base: $26.29 - $48.91; bonus/equity: not specified...
Fully remote
Icd-10, icd-10-pcs, ms-drg, apr-drgs
Clinical documentation interpretation
Drg denial appeals
Performs quality reviews on coded records to validate ICD-10, ICD-10-PCS, MS-DRG, APR-DRGs, and overall coding accuracy retrospectively and concurrently
Job Summary
Performs quality reviews on coded records to validate ICD-10, ICD-10-PCS, MS-DRG, APR-DRGs, and overall coding accuracy retrospectively and concurrently.
Provides continuing education to individual coders and the coding staff concerning changes in the coding and reimbursement system and any weaknesses identified during the coding validation reviews.
AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ.
Matching Summary
Performs quality reviews on coded records to validate ICD-10, ICD-10-PCS, MS-DRG, APR-DRGs, and overall coding accuracy retrospectively and concurrently.
Salary
Base: $26.29 - $48.91; Bonus/Equity: Not specified; Benefits: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance, Paid Time Off, 403-B Retirement Plan, 4 Weeks 100% Paid Parental Leave
Skills & Requirements
Must-have
ICD-10, ICD-10-PCS, MS-DRG, APR-DRGs
clinical documentation interpretation
DRG denial appeals
coding accuracy 98% or better
coding turn-around time 3 days or less
Optum CAC and Optum Audit
Nice-to-have
Extending the Healing Ministry of Christ
whole person well-being resources
purpose-minded team
risk adjustment knowledge
patient safety indicators knowledge
Key Requirements
5+ years inpatient or outpatient coding or auditing experience
RHIA, RHIT, CCS, or CPC certification
Expansive knowledge of Medicare DRGs, APR-DRG, coding guidelines
Exhaustive knowledge of inpatient coding and working knowledge of ICD-10-CM, ICD-10-PCS, MSDRG’s, APRDRG’s, HAC’s, POA indicators, CMI