Job Description
Responsibilities
- Reviews medical record documentation and accurately assigns appropriate ICD‑10 diagnoses and ICD 10 PCS procedure codes, leading to the assignment of the correct Medicare Severity – Diagnosis Related Group (MS‑DRG) or All Patient Refined Diagnosis Related Group (APR‑DRG).
- Correctly abstract required data per facility specifications.
- Responsible for monitoring and working of accounts that are Discharged Not Final Billed, failed claims, stop bills, and as a team, ensure timely, compliant processing of inpatient accounts through the billing system.
- Responsible to ensure accuracy and maintain established quality, productivity standards, and key performance indicators established for 3M 360 or for eCAC.
- Remain abreast of current Centers for Medicare and Medicaid Services (CMS) requirements as well as Correct Coding Initiative (CCI) edits, Hospital Acquired Conditions (HAC’s), and when applicable, National Coverage Dete...