Qualification: Medical Background / Bachelor’s Degree in Health Sciences
Certifications: CPC, CCS, CCS-P, CIC &/Or CCA
Experience: Min 3 Years
Job Description:
1. Responsible for final coding on Inpatient, Day case, LTC cases.
2. Prompts medical staff physicians for additional documentation as needed to clarify DRG assignments.
3. Accurately assign ICD-10 CM, CPT, HCPCs codes according to the available documentation.
4. Identify the opportunity to improve medical documentation and potentially to improve facility reimbursement under DRGs.
5. Query management for any clarifications that may arise while processing the claims. Ensure the given Targets are met.
6. Coordinate with case manager to improve the DRG severity.
7. Actively participating in Audits as nominees under coding representative.
8. Participation in the organization’s quality improvement and safety activities.
9. Comply with the established policies & procedures of which they have been informed, instructed, and trained.
10. Actively participate along with line management towards implementation of quality projects & programs requirements.
11. Report to the respective manager any potentially hazard, unsafe act or condition, which may cause impacts.
12. Report all hazard, near miss and incidents to the respective line manager.
13. Ensure the work is carried out within applicable regulations, health insurance policies, principles, and hospital goals.
14. Contributes to the success of departmental KPI’s.
15. Any other tasks required by HOD’s.
Email: hroffshore@dynamedhealth.com
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