Inpatient DRG Coder Specialist

5 days ago


Albany, New York, United States Intermountain Health Full time
Job Summary

We are seeking a highly skilled Inpatient DRG Coder to join our team at Intermountain Health. As a key member of our coding team, you will be responsible for assigning accurate and complex ICD-10 CM and PCS codes to patient records, ensuring compliance with regulatory guidelines and reimbursement methodologies.

Key Responsibilities
  1. Assign ICD-10 CM and PCS codes to patient records with a high level of accuracy and complexity, utilizing extensive knowledge of coding guidelines and regulations.
  2. Audit and edit results of data provided by technology tools, resolving any discrepancies and ensuring clean and accurate claims.
  3. Collaborate with internal teams, including Clinical Documentation Integrity, to review complex inpatient facility encounters and assign codes based on provider and clinical documentation.
  4. Utilize critical thinking and problem-solving skills to assign appropriate clinical diagnosis and procedure codes in accordance with nationally recognized guidelines.
  5. Verify data abstracted and entered from the electronic health record (EHR), ensuring integrity of the database for internal and external data reporting.
  6. Respond promptly to inquiries from revenue services related to code and modifier usage within the billing process.
  7. Adhere to all internal and external compliance guidelines, participating in continuing education programs to maintain knowledge of anatomy, physiology, medical terminology, disease processes, and surgical techniques.
  8. Stay up-to-date with coding guidelines, reimbursement methodologies, and regulatory compliance, maintaining thorough and current knowledge of clinical care and treatment options.
Requirements
  • Coding credential from AHIMA or AAPC required, or ten (10) years of acute care inpatient facility coding experience.
  • Ability to work independently in a remote environment, with attention to detail for accuracy requirements.
  • Preferred qualifications include three (3) years of acute care facility coding experience, including ICD-10-CM and PCS coding with multidisciplinary service lines, and experience with EPIC EHR and 3M 360 CAC.
About Intermountain Health

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness.

Learn more about our comprehensive benefits packages and our commitment to diversity, equity, and inclusion.



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