Coding Integrity Specialist III, Work from Home

Parallon Workforce
Orange Park, Florida
Jun 14, 2018
Jun 14, 2018
Reviews and evaluates hospital inpatient medical record documentation to assign, sequence, edit and/or validate the appropriate ICD-10-CM and ICD-10- PCS codes.

Performs coding and/or code/DRG validation across multiple entities.

Applies all appropriate coding guidelines and criteria for code selections.

Adheres to Company and HSC Coding Compliance policies and procedures for the assignment of complete, accurate, timely, and consistent codes for diagnoses and procedures.

Supervisor Coding ManagerDuties (included but not limited to): Assigns, sequences, validates, and/or edits codes/DRGs and abstracted data (e.


, physician, discharge disposition, query tracking) for inpatient records for multiple facilities using ICD-10-CM and ICD-10-PCS to include: - Diagnosis description with appropriate 3-7 digit code assignment with corresponding Present On Admission (POA) - Procedure description with appropriate 7 digit ICD-10-PCS code, date and surgeon - Admitting Diagnosis - Discharge dis - Where applicable, completes the coding portion of the IRF-PAI Maintains or exceeds established accuracy standards Maintains or exceeds established productivity standards Utilizes the complete patient medical record documentation in code/DRG assignment, validation, and/or editing of codes/DRGs Initiates, reviews, and/or edits physician queries in compliance with Company and HSC policy where appropriate As needed, may periodically be asked to perform Coding Account Resolution Specialist III (CARS III) duties Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain current Follows all applicable coding guidance in assigning, sequencing, validation, and/or editing of codes/DRGs Meets all educational as stated in current Company and HSC policy Practice and adhere to the Code of Conduct philosophy and Mission and Value Statement Other duties as assigned