We are seeking a highly skilled and detail-oriented Inpatient Medical Coder - CDI Specialist to join our healthcare team. This role focuses on ensuring accurate medical coding for inpatient records while collaborating with physicians and clinical staff to improve the quality of documentation. The specialist will ensure compliance with coding guidelines, optimize reimbursement, and support quality reporting initiatives.
- Assign accurate ICD-10-CM, ICD-10-PCS, CPT, and DRG codes for inpatient records.
- Review clinical documentation to ensure coding meets regulatory and compliance standards (CMS, AHIMA, AHA).
- Validate coding accuracy to optimize appropriate reimbursement and minimize denials.
- Ensure coding is in alignment with MS-DRG and APR-DRG groupings.
- Stay updated on coding guidelines, regulations, and payer policies.
- Work closely with physicians, nurses, and other healthcare providers to improve documentation completeness and accuracy.
- Identify documentation gaps, inconsistencies, or discrepancies and provide recommendations for improvement.
- Facilitate physician queries when documentation requires clarification to support appropriate code assignment.
- Assist in educating providers on best documentation practices to ensure compliance and optimal reimbursement.
We are seeking a highly skilled and detail-oriented Inpatient Medical Coder - CDI Specialist to join our healthcare team. This role focuses on ensuring accurate medical coding for inpatient records while collaborating with physicians and clinical staff to improve the quality of documentation. The specialist will ensure compliance with coding guidelines, optimize reimbursement, and support quality reporting initiatives.
- Assign accurate ICD-10-CM, ICD-10-PCS, CPT, and DRG codes for inpatient records.
- Review clinical documentation to ensure coding meets regulatory and compliance standards (CMS, AHIMA, AHA).
- Validate coding accuracy to optimize appropriate reimbursement and minimize denials.
- Ensure coding is in alignment with MS-DRG and APR-DRG groupings.
- Stay updated on coding guidelines, regulations, and payer policies.
- Work closely with physicians, nurses, and other healthcare providers to improve documentation completeness and accuracy.
- Identify documentation gaps, inconsistencies, or discrepancies and provide recommendations for improvement.
- Facilitate physician queries when documentation requires clarification to support appropriate code assignment.
- Assist in educating providers on best documentation practices to ensure compliance and optimal reimbursement.