Job Summary:
Review clinical documentation within the medical record to ensure that all principal diagnosis, secondary diagnoses, and PCS procedures have been coded accurately and completely as well as certain abstract items in compliance with Official Coding Guidelines, UPMC Coding Guidelines, and OIG regulations on fully coded cases as well as cases on those in training. Assist in training new coding staff.

Responsibilities:

+ Review and evaluate focused UPMC electronic health records in Optum, Epic, or Cerner for accurate DRG assignment to ensure that all documented principal and secondary diagnoses, including all complications and co-morbidities, and procedures are accurately coded and sequenced according to coding and compliance guidelines utilizing the Optum coding application.
+ Assists with training of new DRG Specialists and coders as requested.
+ Focus emphasis of educational communications on accurate and thorough documentation necessary to suppor...