Assigns appropriately sequenced and compliant ICD 10 CM/PCS codes as documented in the electronic medical record (EMR). Applies definition of principal diagnosis for proper assignment of MS DRGs, APR DRGs, and POA indicators using a designated encoder/grouper, while ensuring compliance with nationally established coding guidelines. Utilizes selected encoder and/or compute

Serves as a patient advocate and resource through the scheduling, pre registration, registration, admitting/discharge and authorization process. Greets, screens and checks in patients, families vendors and visitors in a professional manner while working to exceed customer service expectations. Pre registers current and prospective patients which includes performing verifi

Include Ensure patient demographic information is accurate and complete Utilize customer hospital systems or approved vendors to research and obtain/verify patient demographic information Validate signature documents such as AOB (Assignment of Benefits), consents, CMN (Certificate of Medical Necessity) Verify patient name is consistent on all documents Verify date of servi

As a valued member of the DRG Review Team, the DRG Integrity Specialist performs a secondary level review of medical records and code assignment using knowledge of Accuity technology and client systems with a physician in accordance with federal coding regulations and guidelines as well as client specific coding guidelines to ensure accurate DRG assignment. This function

Possesses the knowledge and skills to thoroughly review the clinical content of all levels of complexity of Inpatient medical records and assigns appropriate ICD 10 Codes to diagnoses procedures for optimal reimbursement, as well as the knowledge to ensure the coding accurately reflect the severity of illness and risk of mortality for quality reporting. Has knowledge of a

The BPN Coding Specialist is responsible for assigning diagnostic, procedural, and complication codes to all inpatient, ambulatory surgery, emergency room and outpatient patient records. Ensures that all coded records meet the Federal, State and Payer coding requirements. Job Tasks and Responsibilities ( denotes essential job functions) 1. Commits to the mission, vision a