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Form of work- This Position is 100% Remote
- Position Summary
- Under the general direction of the Coding Director, this position is responsible for performing DRG Validation quality reviews for inpatient coded records to validate ICD 9 CM (ICD 10 CM and PCS) codes for appropriate DRG assignment. This position reviews coded claims to identify any missed secondary diagnosis and/or procedures, ensuring compliance with all DRG mandates and reporting requirements. Report results, findings and recommendations to the Coding Director and assists with the development of process improvements to maintain data quality.
- Required Minimum Knowledge, Skills, and Abilities (KSAs)
- Education: Associates Degree in Health Information Management and/or Bachelors' Degree in Health Information Management, or other science based degree such as nursing, required.
- License/Certifications: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS) required.
- Experience: Minimum of three (3) years' experience as an inpatient coder at a large (300 plus bed) acute care or academic teaching facility required.
- Advanced coding skills and knowledge of revenue cycle, billing systems, EPIC Electronic Health Record and 3M Encoder, ICD 10 training, Computer Assisted Coding software (CAC); effective communication to serve as a knowledge resource and mentor on coding and compliance issues. Demonstrates ability to work effectively and collaboratively with Clinical Documentation Improvement Specialists (CDIS) and other healthcare professionals.
Additional Information
With a career at any of the MaineHealth locations across Maine and New Hampshire, you'll be working with health care professionals that truly value the people around them - both within the walls of the organization and the communities that surround it.
We offer benefits that support an individual's needs for today and flexibility to plan for tomorrow - programs such as paid parental leave, a flexible work policy, student loan assistance, training and education, along with well-being resources for you and your family.
MaineHealth remains focused on investing in our care team and developing an inclusive environment where you can thrive and feel supported to realize your full potential. If you're looking to build a career in a place where people help one another deliver best-in-class care, apply today.
