Job Description
Work Setup
Onsite (QC)
License
Active PHRN License
Certification
Active CCS, CIC
Educational Attainment
Bachelor's degree in nursing or a related field (medical allied courses). Advanced degrees or certifications may be preferred.
Responsibilities
- Supervise and coordinate the daily activities of the medical coding team to ensure timely and accurate coding of medical records.
- Review and audit coded data for accuracy, completeness, and compliance with official coding guidelines and payer requirements.
- Provide expert guidance on complex coding issues, including DRG change resolution, ICD-10-CM, ICD-10-PCS, CPT coding, and modifier usage.
Requirements
- 5 years experience in Inpatient coding with exposure to multiple specialties
- 1 year experience in transplant cases
- 1 year experience as Quality Auditor