Overview In this role you will lead inpatient coding activities and support the coding team to improve documentation and claims outcomes. You will train coders, manage work queues, and perform prebill and retrospective coding reviews to ensure accurate ICD/ICD-PCS coding and DRG assignment. You will identify documentation gaps, support compliance with guidelines, and report trends to leadership for process improvements. You will collaborate with CDI and clinical staff on education and coding standards, contributing to hospital quality indicators and payer accuracy. This role offers the chance to shape coding education and drive data-driven improvements in a large healthcare system.
Responsibilities- Lead coding teams and mentor coders in ICD-10-CM/ICD-PCS guidelines
- Perform prebill and retrospective reviews and validate DRG assignments
- Manage work queues and prioritize accounts within timelines
- Coordinate provider documentation queries with the CDI team
- Identify coding/documentation opportunities and report to leadership
- Collaborate on coding curriculum, training materials, and annual DRG updates
- Assist with educational programs for coding, CDI, and medical staff
- Support system testing and process improvement for HIM applications
- Respond to inpatient denials and participate in CDI-Coding Task Force
Key requirements- Four years of inpatient coding and abstracting experience in acute care
- RHIT or RHIA or CCS or CIC or equivalent coding credential
- Knowledge of EMR and 3M or Encoder System
- Strong understanding of MS DRG and severity systems
- Ability to apply documentation and coding guidelines independently
- Excellent analytical and communication skills
- mentoring and training
- critical thinking
- collaboration
- 3M or Encoder System
- ICD-10-CM/ICD-PCS coding
- DRG assignment and validation
