Coder III

Role Overview

• Assigns diagnosis, procedure, and DRG codes to ensure quality documentation and accurate reimbursement for services provided
• Reviews complex documentation from records
• Uses coding guidelines and resources to accurately assign codes
• Identifies quality concerns and refers to the quality department
• Collaborates with CDI staff to ensure accurate coding and DRG assignment

Requirements

• 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 to accurately assign and sequence appropriate codes and assign DRG
• Identifies any quality concerns and refers to quality department as indicated
• Collaborates closely with CDI staff to ensure accurate DRG/AAPC assignment
• Justifies DRG/AAPC discrepancies
• Seeks clarification from healthcare providers to ensure accurate and complete coding

Benefits

• Supporting all aspects of our employees’ wellness – physical, emotional and financial
• Quality dental and vision benefits
• Wellness programs and resources
• Industry-leading leave for new parents
• Generous earned time plan
• Employee Assistance Program for employees and anyone in their household
• Access to wages already earned before payday with Payactiv
• Tuition Reimbursement
• Up to 2% of eligible pay in 403(b) company-matching contributions plus another 2% in the 401(a) retirement income plan
• Three insurance plans for sudden loss of income due to death, terminal illness or serious injury
• Short-term and long-term disability insurance to replace a portion of income if disabled