Inpatient Medical Coding Specialist

3 days ago


Taguig, National Capital Region, Philippines HRTX Full time
Job Summary

We are seeking a highly skilled Inpatient Medical Coder - CDI Specialist to join our healthcare team at HRTX.

This role focuses on ensuring accurate medical coding for inpatient records while collaborating with physicians and clinical staff to improve the quality of documentation.

Key Responsibilities
  • Coding Accuracy: Assign accurate ICD-10-CM, ICD-10-PCS, CPT, and DRG codes for inpatient records.
  • Documentation Review: Review clinical documentation to ensure coding meets regulatory and compliance standards (CMS, AHIMA, AHA).
  • Coding Validation: Validate coding accuracy to optimize appropriate reimbursement and minimize denials.
  • Coding Alignment: Ensure coding is in alignment with MS-DRG and APR-DRG groupings.
Requirements
  • Education and Experience: Stay updated on coding guidelines, regulations, and payer policies.
  • Collaboration: Work closely with physicians, nurses, and other healthcare providers to improve documentation completeness and accuracy.
  • Problem-Solving: Identify documentation gaps, inconsistencies, or discrepancies and provide recommendations for improvement.
  • Communication: Facilitate physician queries when documentation requires clarification to support appropriate code assignment.


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