IRF Coder
Netsmart
Job Description:
Do you perform coding audits of medical records for Inpatient Medical Rehabilitation?
We are seeking a candidate who has a proven record for accuracy in IRF coding and thorough understanding of ICD-10 codes and related IRF coding regulations. Responsibilities include conducting IRF PPS Coding audits inclusive of IRF-PAI and UB-04 review, maintaining expertise in ICD-10 coding and credentials and meeting daily accuracy and production standards in accordance with established department policies. The ideal candidate has a highly developed ability to review medical records to identify the etiologic diagnosis, current comorbid conditions, and complications recorded on the IRF-PAI relative to the patient’s inpatient rehabilitation stay. The candidate must have ability to review the coding on the UB-04 claim form and determine the accuracy of the principal diagnosis and secondary diagnoses as determined by physician documentation. Essential is the ability to identify incomplete or missing diagnosis codes on the IRF-PAI and UB-04 claim form and also identify codes that impact CMG tier and compliance.
Come join this amazing team of experts that provides healthcare facilities the clinical and technical expertise that enables them to adhere to the complex regulations for care and payment. Collaborate on a daily basis with clinicians who in conjunction with coders perform full coding /clinical audits. Also perform coding-only audits in adherence with up-to-date ICD-10 coding guidelines.
Our diverse team of highly motivated leaders, innovators, and healthcare experts are the secret to our 30 plus years of success. If you are a professional who collaborates with their team to deliver the best and most reliable network system then apply today!
Knowledge and skills:
- Associate’s degree in medical coding or equivalent training acquired through at least five years of progressive on-the-job experience; health-related BS degree a plus.
- Experience in IRF coding is required.
- A minimum of 3 years of ICD-10-CM coding experience directly applying codes for inpatient rehabilitation prospective payment systems is required. CCS Certified AHIMA Coding Specialist, CPC credential from AAPC a plus. * CCS, Certified Coding Specialist, AHIMA; CPC, Certified Professional Coder, AAPC a plus.
Expectations
- Normal office environment including but not limited to long periods of sitting, typing, analyzing data, telephone communication, use of standard office equipment and daily personal interaction.
Apply Online: https://ntst.wd1.myworkdayjobs.com/Careers/job/Remote—Other/Certified-Inpatient-Coder—IRF-PPS_R011119