This job was posted by https://www.kansasworks.com : For more information, please see: https://www.kansasworks.com/jobs/13052304

Job Summary and Qualifications

As an Inpatient Coding Specialist, you willbe responsible forworkinginpatient coding related alerts/edits,predominately postinitial/final coding.You will alsoperform the alert/edit resolution activities in the applicable systems. The alerts/edits shall be worked according to the established procedures andthresholds andcommunicated asappropriate.

What you will do in this role:

• Compiles daily work list fromeRequest, CRT and/or other alert/edit systems
• Takes actionand resolves alerts/edits daily following established procedures and thresholds
• Enters detailed notes to updateeRequestto provide details if the alert/edit cannot be resolved or must be rerouted to another responsible party for research/resolution
• Escalates alert/edit resolution issues asappropriate tominimize final billing delays
• Monitors the aging of accounts held by an alert/edit, prioritizes aged accounts first, and reports to leadership
• Works with team members in billing, revenue integrity and/or the Medicare Service Center to resolve alerts/edits
• Assigns interim DRGs for in-house patients at monthend
• Completes MOCK abstracts as necessary (e.g., combining the codes for outpatient and inpatient claims subject to the payment window)
• Assists the Coding Leads and/or Coding Managers in resolving unbilled reason codes (URC)/Hold Reasons
• Communicates coding revisions to the applicable party (e.g., CIS, lead, manager, internationallog) 2Job Description
• Periodically works with theirmanagerto review individual work accomplishments, discuss work problems/barriers, discuss progress in mastering tasks and work processes, and discusses individual training needs and career progression