Job Summary:Assigns diagnosis, procedure, and DRG codes to ensure quality documentation and accurate reimbursement for services provided.


Job Description:
Reviews complex documentation from records to identify appropriate diagnostic and procedural codes (ICD, PCS, CPT).


Uses coding guidelines, clinics, LCDs and NCDs and other resources and clinics to accurately assign and sequence appropriate codes and assign DRG. Identifies any quality concerns and refers to quality department as indicated.


Reviews CDI documentation and collaborates closely with CDI staff to insure accurate DRG/AAPC assignment. Justifies DRG/AAPC discrepancies.


Seeks clarification from healthcare providers or other designated resources to ensure accurate and complete coding and optimize DRG and severity of illness documentation.


Scheduled Weekly Hours: 40


Scheduled Work Shift:


Job Exempt: No