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IP DRG Auditors and Coders

1.00 to 2.00 Years   Chennai   17 Dec, 2020
Sisco Jobs
Job LocationChennai
EducationNot Mentioned
SalaryRs 5 - 6 Lakh/Yr
IndustryRecruitment Services
Functional AreaGeneral / Other Software
EmploymentTypeFull-time

Job Description

Roles and Responsibilities

  • Maintains a working knowledge of CPT-4, ICD-10-CM and ICD-10-PCS coding principles, governmental regulations, UHDDS (Uniform Hospital Discharge Data Set) guidelines, AHA coding clinic updates and third-party requirements regarding Coding and documentation guidelines
  • Knowledge of Physician query process and ability to write physician query in compliance with OIG and UHDDS regulations
  • Knowledge of MS-DRG (Medicare Severity Diagnosis Related Groups), MDC (Major Diagnostic Categories), AP-DRG (All Patient DRGs), APR-DRG (All Patient Refined DRGs) with hands-on experience in handling MS-DRG
  • Knowledge of CC (complication or comorbidity) and MCC (major complication or comorbidity) when used as a secondary diagnosis
  • Understanding and exposure to Clinical Documentation Improvement (CDI) program to work in tandem with MS-DRG
  • Hands-on experience in any of the Encoder tools specific to Hospital coding such as 3M, Trucode, etc. is preferred
  • The coders assigned on the project would be reviewing Inpatient and observation medical records, determine and assign accurate diagnosis (ICD-10-CM) codes and Procedure codes (ICD-10-PCS and/or CPT) codes with appropriate modifiers in addition to reporting any deviations in a timely manner
  • Maintains high level of productivity and quality
,

Keyskills :
medical recordsclinical documentationahamccoigcodestandemcodersrecordsclinicaladditionreportingdiagnosismodifiersdischargecompliancedeviationsmedicalhospitalicd10cm

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