Senior Inpatient DRG Coder - Remote

Overview The Coding Senior will apply ICD‑10‑CM/PCS and CPT diagnostic and procedural codes, determine MS‑DRG and APR‑DRG assignments for inpatient records across multiple specialties, and apply ICD‑10 diagnostic and CPT procedure codes for ambulatory records across multiple specialties. The role may include coding specialist functions. Responsibilities Navigate patient health records and other computer systems to accurately determine diagnosis and procedure codes, MS‑DRGs, APCs, and required modifiers. Validate charges by comparing them with health record documentation. Communicate effectively with clinical staff, physicians, office staff, and Clinical Documentation Improvement Specialists regarding documentation issues or needs related to inpatient, outpatient, or ambulatory coding. Identify concerns and notify appropriate leadership for resolution. Provide resolution to moderate to complex problems. Track issues that require follow‑up to facilitate timely coding. Consistently meet or exceed coding quality and productivity standards established by the coding department. Adhere to confidentiality requirements related to patient information. Maintain up‑to‑date knowledge of coding and reimbursement guidelines and regulations. Perform other duties as assigned by leadership. Maintain working knowledge of coding laws and regulations, the Code of Ethics, and related policies and procedures. Qualifications High School Diploma/GED or equivalent with 3 years of work experience, or Associate’s degree with 1 year of experience, or Diploma/Certification in Coding with 1 year of experience. Preferred: Associate’s Degree in Health Information Management or similar; completion of AHIMA‑approved or AAPC coding program. Preferred certifications: Registered Health Information Technician (CCHIIM—AHIMA), Registered Health Information Administrator (CCHIIM—AHIMA), Certified Coding Specialist (CCHIIM—AHIMA). Knowledge, Skills, and Abilities Comprehensive working knowledge of medical terminology, anatomy, physiology, diagnostic and procedural coding, MS‑DRG or APC grouping, and charge description master. Knowledge of third‑party reimbursement regulations and billing practices. Experience utilizing encoding/grouping software. Proficiency with standard desktop and Windows‑based computer systems, including email, internet, and navigation. High ethical standards, including privacy regulations and confidentiality laws. Knowledge of ICD‑10‑CM, ICD‑10‑PCS, CPT/HCPCS, MS‑DRG, APR‑DRG, APC coding principles and guidelines. Experience in ICD‑10‑CM/PCS coding and reimbursement training. Knowledge of Prospective Payment System (PPS) methodology for inpatient, outpatient, ambulatory, and provider‑based clinic encounters. Knowledge of hospital and professional coding, including provider‑based billing. Knowledge of Joint Commission and CMS documentation regulations. Experience with concurrent coding reviews. Knowledge of privacy and security regulations, confidentiality practices, and information release policies. Ability to identify learning needs and provide training to coding staff. Strong analytical, problem‑solving, oral, written, and interpersonal communication skills. Ability to organize, set priorities, and manage objectives in a timely manner. Adaptability to change and challenge. Collaborative approach with physicians and managerial staff at all levels. Work Shift Days (United States of America) Equal Opportunity Employer – LCMC Health is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law. #J-18808-Ljbffr