Centra Health
Location
Lynchburg, Virginia
The specialist reviews inpatient medical records to assign ICD-10-CM and ICD-10-PCS codes, which derive APR-DRG or MS-DRG for optimal reimbursement. This role involves collaboration with the Clinical Documentation Integrity Specialist and formulating provider queries for clarification.
Candidates must possess a High School Diploma or equivalent and at least one required certification (RHIA, RHIT, CCS, or CCA), along with a minimum of two years of acute care inpatient coding experience. Proficiency in ICD-10 coding systems and knowledge of IPPS, DRG methodologies, SOI, and ROM are mandatory.
The Hospital Inpatient Coding Specialist reviews inpatient medical records and assigns International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10 CM) diagnosis and International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) procedure codes that derives an All Patient Refined Diagnosis Related Group (APR-DRG) or Medical Severity Diagnosis Related Group (MS-DRG) for optimal reimbursement. The Hospital Inpatient Coding Specialist will work in collaboration with the Clinical Documentation Integrity Specialist at times to ensure accuracy consistent with Centra’s coding policies. The Hospital Inpatient Coding Specialist will abstract pertinent information according to established guidelines for the organization and will formulate provider queries to clarify information.
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