Senior Coding Specialist

1 Reviews inpatient medical records and assigns accurate ICD-10-CM and PCS codes for diagnoses and procedures.

2 Assigns and sequence codes accurately based on medical record documentation.

3 Follow all HIPAA (Health Insurance Portability and Accountability Act) rules and regulations.

4 Assigns POA indicators correctly.

5 Thorough understanding and application of medical necessity, DRGs, APGs, and APRs for processing claims.

6 Involves in ensuring data integrity including appropriate sequencing and dispositions, resolving all coding edits prior to finalizing the charts, compliant with United States Local and Federal Regulations.

7 Continuing education for ICD10 with Elsevier modules, staying current with coding clinics, and revised codes.

8 Keeps current with all coding updates/changes through Coding Clinics and literature.

9 Querying physicians regarding incomplete documentation and/or clarification regarding coding diagnoses or procedures etc., which impacts on DRG.

10 Attends weekly/monthly education meetings, which goes over common mistakes made, new Coding Clinic examples, practice coding problems, etc.

11 Perform coding across multiple facilities/patient types as per requirement.

12Maintains a professional appearance. Should understand, support, enforce and comply with company policies, procedures and Standards of Business Ethics and Conduct.

1. Should be proficient with ICD-10-CM and PCS coding concepts and regulatory guidelines.
2. Should be proficient with the MS-DRG payment system.
3. Knowledge of 3M coding and abstracting software, Epic and Meditech Systems.
4. Must be certified by AAPC and/or AHIMA. (Preferable CCS, CIC)