Virtual Coding Integrity Specialist III in Nashville, TN at Parallon

Date Posted: 3/31/2018

Job Snapshot

  • Employee Type:
  • Location:
    Nashville, TN
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:

Job Description

The Coding Integrity Specialist III reviews and evaluates hospital inpatient medical record documentation to assign, sequence, edit and/or validate the appropriate ICD-10-CM and ICD-10- PCS codes. The specialist performs coding and/or code/DRG validation across multiple entities. The specialist applies all appropriate coding guidelines and criteria for code selections and adheres to Company and HSC Coding Compliance policies and procedures for the assignment of complete, accurate, timely, and consistent codes for diagnoses and procedures. 

Duties (included but not limited to):
• Assigns, sequences, validates, and/or edits codes/DRGs and abstracted data (e.g., physician, discharge disposition, query tracking) for inpatient records for multiple facilities using ICD-10-CM and ICD-10-PCS to include:
o Diagnosis description with appropriate 3-7 digit code assignment with corresponding Present On Admission (POA) 
o Procedure description with appropriate 7 digit ICD-10-PCS code, date and surgeon 
o Admitting Diagnosis 
o Discharge disposition 
o Where applicable, completes the coding portion of the IRF-PAI 
• Maintains or exceeds established accuracy standards 
• Maintains or exceeds established productivity standards 
• Utilizes the complete patient medical record documentation in code/DRG assignment, validation, and/or editing of codes/DRGs 
• Initiates, reviews, and/or edits physician queries in compliance with Company and HSC policy where appropriate
• As needed, may periodically be asked to perform Coding Account Resolution Specialist III (CARS III) duties 
• Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain current 
• Follows all applicable coding guidance in assigning, sequencing, validation, and/or editing of codes/DRGs 
• Meets all educational requirements as stated in current Company and HSC policy 
• Practices and adheres to the “Code of Conduct” philosophy and “Mission and Value Statement” 
• Other duties as assigned 

Job Requirements

  • High School graduate or GED equivalent required.
  • Undergraduate (Associate's or Bachelor's) degree in HIM/HIT preferred. 

  • Minimum 1 year of acute care hospital inpatient coding required. 3 years of acute care hospital inpatient coding preferred. 

  • RHIT, RHIA or CCS preferred.