Should have a minimum of 2 years live experience on DRG coding for facility.
Should be proficient in ICD-10-CM & PCS coding concepts.
Should carry in-depth knowledge of Inpatient reimbursement systems, MC/CC, HACs, UHDDS reporting requirements, etc.
Should be able to understand and demonstrate the coding concepts of Principal Diagnosis, Secondary Diagnosis, Principal Procedure and POA concepts.
Should be able to refer to Coding Clinics and other widely accepted coding publications to resolve any coding disputes with the clients and/or payors.
Must be able to identify the opportunities to query the physician for documentation deficits and/or variations to determine the correct Pdx and/or DRG.
Should be able to deliver the set productivity targets with not less than 97% of accuracy.
Should be able to communicate with the physicians and/or client staff independently.