Quality Analyst I
Job Description:
Quality Analyst, with 4 years of IPDRG experience with CIC/CCS certification, Strong knowledge of anatomy, physiology, and medical terminology, Solid oral and written communication skills also ability to work independently.
Reviewed inpatient medical records and assigned accurate ICD-10-CM (PDx and SDx) and PCS codes for diagnoses and procedures
Assigned and sequenced codes accurately based on medical record documentation
Assigned POA indicators correctly
Thorough understanding and application of medical necessity, DRGs, APGs, and APRs for processing claims
Adhered to coding clinics and guidelines, and queried physicians for clarification as needed
Checking on the account status on regular basis if kept on Hold and follow up with respective leaders when in needed
Knowledge of 3M coding, Optum, computer assisted coding (CAC), abstracting software
Meditech will be added advantage
Vacancy posted a month ago
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