Clinical Coder III

Clinical Coding Specialist III

Thoroughly reviews patient medical records as required to specifically and accurately code diagnoses and procedures treated or otherwise impacting the patient care. Effectively verifies the electronic medical record contains supporting documentation to justify diagnostic and procedural code assignments and follows up accordingly if questionable. Assists with auditing medical records for quality of coding and to ensure appropriate reimbursement, and reports findings to the Coding Program Manager. Also serves as backup for coding, billing, abstracting, and/or auditing of Outpatient and ED records. The Clinical Coding Specialist III is responsible for remaining current on all ICD and CPT coding changes as well as payer specific requirements and regulations.

Coding of complex inpatient records.

Successful demonstration of proficiency and compliance with regulatory requirements

Identification of principal diagnosis and appropriate MS-DRG.

Complete coding of the record including appropriate coding of secondary diagnoses and inpatient procedures using ICD-10-PCS

Ability to write compliant coding queries.