RN CoderThe Judge Group • United States
RN Coder
The Judge Group • United States
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job_description.job_card.job_descriptionUnrestricted RN (registered nurse) CCS or CIC certification through AAPC and AHIMA 3+ years of MS DRG / APR DRG coding experience in a hospital environment with expert knowledge of ICD-10 Official Coding Guidelines and DRG reimbursement methodologies
Responsibilities :
- Accurately assign MS-DRG and APR-DRG codes using ICD-10-CM / PCS in accordance with official coding guidelines and hospital policies.
- Review and analyze inpatient medical records to ensure appropriate code assignment and DRG validation for optimal reimbursement and compliance.
- Utilize expert knowledge of DRG reimbursement methodologies to identify and resolve discrepancies in coding and documentation.
- Collaborate with clinical documentation improvement (CDI) specialists and physicians to clarify documentation and ensure accurate code capture.
- Maintain up-to-date knowledge of coding regulations, payer requirements, and industry best practices.
- Participate in internal and external audits, providing documentation and rationale for code assignments as needed.
- Ensure compliance with HIPAA and all applicable federal, state, and local regulations.
- Demonstrate proficiency with electronic health record (EHR) systems and coding software tools.
Required Qualifications :
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Coder • United States