Certified Coder (PRN)

Responsible for daily coding, auditing and diagnosis-related group (DRG) validation of assigned encounters is accurate and compliant with outpatient standards.

Responsibilities

• Conduct reviews and provide recommended corrections of billed services for medical records, ensuring accuracy and compliance with current coding guidelines and regulations
• Conduct DRG validation to ensure appropriate assignment based on clinical documentation and coding
• Review and audit billed services, providing recommended corrections related to clinical documentation to maintain coding integrity
• Assist in reviewing and responding to payer and governmental audits of billed services
• Stay current with and apply new coding guidelines and codes, maintaining expertise in CPT, HCPCS, and ICD-10 coding systems
• Meet established daily accuracy and production standards as per department policy
• Collaborate with healthcare team members to ensure continuity of services and clarity in clinical documentation

Qualifications

Required:

• High school diploma or GED
• One or more of the following credentials: Certified Coding Specialist (CCS) through the American Health Information Management Association (AHIMA); or Certified Professional Coder (CPC) and Certified Outpatient Coder (COC) through the American Academy of Professional Coders (AAPC)
• At least 1 year inpatient medical coding with DRG validation work experience